Individual
JESSICA RENE'E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
860 HEBRON PKWY STE 803, LEWISVILLE, TX 75057-5145
(940) 580-9689
Mailing address
860 HEBRON PKWY STE 803, LEWISVILLE, TX 75057-5145
(940) 580-9689
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203638
TX
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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