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NPI Code Detail

MEDICARE: KARA WILSON LPC

MEDICARE: KARA WILSON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701015861VA

General Provider Information

NPI Number : 1245179704
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA WILSON LPC
Provider Business Mailing Address
First Line : 830 SOUTHLAKE BLVD STE B
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-466-3130
Fax Number :
Provider Business Practice Location Address
First Line : 830 SOUTHLAKE BLVD STE B
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-466-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ KARA WILSON LPC” Practice Location

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