Organization
GAIL WILSON, LMFT, A PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL YVONNE WILSON KAKISHITA LMFT (OWNER)
(925) 605-9127
Entity
Organization
Contact information
Practice address
17907 KUYKENDAHL RD, SPRING, TX 77379-8152
(925) 605-9127
(925) 397-6793
Mailing address
18231 TACOMA RIDGE DR, TOMBALL, TX 77377-2335
(510) 914-6282
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356542724
—
CA
Enumeration date
10/01/2018
Last updated
10/01/2018
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