Individual
MS. ANTOINETTE RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7345 MAUDE ADAMS AVE, TWENTYNINE PALMS, CA 92277-3837
(442) 214-5265
Mailing address
7345 MAUDE ADAMS AVE, TWENTYNINE PALMS, CA 92277-3837
(442) 214-5265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013553
MI
Other
Enumeration date
05/17/2013
Last updated
06/01/2024
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