Individual
BROOKE C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
427 SUNDANCE WAY, SAN ANTONIO, TX 78253-6580
(937) 367-9242
Mailing address
427 SUNDANCE WAY, SAN ANTONIO, TX 78253-6580
(937) 367-9242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1800875
OH
101YP2500X
Professional Counselor
Primary
79942
TX
Other
Enumeration date
03/12/2021
Last updated
02/09/2023
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