Wilson, Leon M

Wilson, Leon M is an sole proprietor health care provider with primary practice located at 307 Lafayette Blvd Ste 202 , Fredericksburg VA 22401-6079. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Leon M can be contacted via phone (703) 915-9526.

Contact Information

Primary practice address
307 Lafayette Blvd Ste 202 Fredericksburg VA 22401-6079
Phone: (703) 915-9526
Fax: (240) 595-6187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701003698 Virginia

Profile Details

NPI number 1386795250
LBN Legal business name Wilson, Leon M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jan 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386795250 NPPES
Virginia MEDICAID 010090687

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