Individual
MS. BRIDGET WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6448 EAST HWY 290, SUITE F108, AUSTIN, TX 78723
(512) 659-8876
Mailing address
6448 EAST HWY 290, SUITE F108, AUSTIN, TX 78723
(512) 659-8876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71926
TX
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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