Individual
JASMINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
16170 JONES MALTSBERGER RD STE 100, SAN ANTONIO, TX 78247-3203
(210) 294-4264
(830) 307-5577
Mailing address
20403 ENCINO LEDGE UNIT 592581, SAN ANTONIO, TX 78259-0867
(210) 294-4264
(830) 307-5577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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