# MAX WILSON COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104763564
- **Authorized official:** MAX E WILSON LMFT (LMFT)
- **Authorized official phone:** (971) 712-3307

## Contact information

- **Practice address:** 1022 SANTA CLARA DR, SANTA FE, NM 87507-5136
- **Practice address phone:** (971) 712-3307
- **Mailing address:** 1022 SANTA CLARA DR, SANTA FE, NM 87507-5136
- **Mailing address phone:** (971) 712-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/01/2026