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

Mr. Charles H Wilson IV, LMHP-R

Individual provider Counselor · NPI 1992387534

Mr. Charles H Wilson IV, LMHP-R is a Counselor in Upper Marlboro, Maryland. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088
Phone: (301) 358-0192
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0704013703 (VA)

Record details

NPI number1992387534
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHP-R
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021

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