Individual
BARBARA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1732 GALLERIA OAKS DR, TEXARKANA, TX 75503
(903) 794-1636
Mailing address
604 W 14TH ST, HOPE, AR 71801-7000
(903) 826-6896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467896894
—
TX
Enumeration date
04/29/2013
Last updated
07/10/2018
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