Individual
ALICE L WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13012 HIGHWAY 146, DAYTON, TX 77535-2804
(409) 771-8262
(281) 480-7856
Mailing address
1320 14TH ST N, TEXAS CITY, TX 77590-5416
(409) 771-8262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62143
TX
Other
Enumeration date
07/26/2012
Last updated
08/01/2012
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