Individual
MS. JULIE CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1800 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Mailing address
1800 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00320B
BCBS OF TEXAS
TX
01
—
100095608
APS
TX
01
—
140768
SUPERIOR
TX
05
—
178195701
—
TX
01
—
7913803
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
02/03/2006
Last updated
05/21/2013
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