Individual
JASON PAUL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4100 MESA DR, KILLEEN, TX 76542-3156
(254) 213-3705
Mailing address
2290 WOLF LN, VALLEY MILLS, TX 76689-2834
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204966
TX
Other
Enumeration date
12/22/2023
Last updated
03/03/2026
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