Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie Isiah Wilson Jr.

Individual provider Professional Counselor · NPI 1538635115

Charlie Isiah Wilson Jr. is a Professional Counselor in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
3

Practice location Address checks out

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Fax: (843) 347-3959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8742 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8742 (SC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1538635115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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