Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE ISIAH WILSON JR.
ActiveCHARLIE ISIAH WILSON JR. is a Professional Counselor healthcare provider located in CONWAY, South Carolina. NPI 1538635115 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CONWAY, SC
Registration Details
- NPI Number
- 1538635115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2018 (7.7957995886088 yrs)
- Last Updated
- Oct 10, 2024
- Licenses
-
8742 (SC)8742 (SC)
Practice Information
- Address
-
164 WACCAMAW MEDICAL PARK DRCONWAY, SC, 295268903Browse SC providers · Browse ZIP 29526
- Phone
- 8433475060
- Fax
- 8433473959
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
Other Professional Counselor Providers in CONWAY, SC
| Name | Credential | NPI |
|---|---|---|
| ROBIN MARIE GRITHER | LPC | 1962435131 |
| M JENNIFER WATTENBARGER | M.ED., LPC | 1730112913 |
| SAMANTHA E PAGGEOT | BA, MS, LPC | 1639102817 |
| CHARMAYNE H TALERICO | LPC | 1184657405 |
| MURRY GORDON CHESSON JR. | MA | 1447276258 |
| JAMES EDMOND GARVEY | LPC/S | 1861418683 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.