IndividualActive
Charles Wilson, MA LMFT
NPI 1376705434 · Marriage & Family Therapist · Riverton, WY
Provider details
- NPI number
- 1376705434
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MA LMFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMFT-111 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
511north 12th St
Riverton, WY 82501
Phone: (307) 857-6685
Approximate (ZIP-level) locationGet directions
Mailing address
62 Ridge Rd
Lander, WY 82520-9788
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2008-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.