Individual
MR. ALBERT GRAHAM WILSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
370 SELBY AVE, #316 UNION THERAPY, SAINT PAUL, MN 55102-1852
(612) 305-8081
Mailing address
370 SELBY AVE, #316 UNION THERAPY, SAINT PAUL, MN 55102-1852
(612) 305-8081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01026
MN
Other
Enumeration date
12/13/2006
Last updated
12/06/2012
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