Willetta M Wilson, BLPC, LMFT, LPC, MAC is a
Marriage & Family Therapist based in Dumfries, Virginia. Willetta M Wilson is licensed to practice in District Of Columbia (license number LMFT000060) and her current practice location is
3775 Fettler Park Dr, Dumfries, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 303-0039.
NPI number for Willetta M Wilson is 1225003403 and her current mailing address is 3775 Fettler Park Dr, Dumfries, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225003403.
Healthcare Provider's Profile
Full Name | Willetta M Wilson |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 3775 Fettler Park Dr, Dumfries, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225003403
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 04/22/2016
Medical Identifiers
Medical identifiers for Willetta M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225003403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PRC13727 (District Of Columbia) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT000060 (District Of Columbia) | Primary |
101YP2500X | Counselor - Professional | 6401007409 (Virginia) | Secondary |
101Y00000X | Counselor | 6401007409 (Michigan) | Secondary |
101Y00000X | Counselor | PRC13727 (District Of Columbia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willetta M Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Willetta M Wilson, BLPC, LMFT, LPC, MAC 3775 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 303-0039 | Willetta M Wilson, BLPC, LMFT, LPC, MAC 3775 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 303-0039 |
Reviews and Comments