Individual
WILLIAM THOMAS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
45 NW GREELEY AVE, BEND, OR 97703-2943
(512) 567-9232
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 440-4095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3576
OR
Other
Enumeration date
09/14/2015
Last updated
06/23/2022
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