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Individual
ANTONIO M WILSON
Active
Individual
ANTONIO M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
93275
TX
101YP2500X
Professional Counselor
93275
TX
171M00000X
Case Manager/Care Coordinator
—
NULL
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
01/03/2019
Last updated
01/15/2026
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