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General NPI Number Information
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NPI Number | 1982480976
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Entity Type | Organization
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Legal Business Name | WILSON COUNSELING PLLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 6575 WEST LOOP S STE 160
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City | BELLAIRE
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State | TX
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Zip | 77401-3509
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Country | US
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Telephone | 713-565-0922
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Fax |
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Provider Business Mailing Address
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Address Line | 5039 DUMFRIES DR
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City | HOUSTON
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State | TX
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Zip | 77096-5323
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Country | US
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Telephone | 713-565-0922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANCY WILSON
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Credential | LPC
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Telephone | 713-591-3612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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