Individual
LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC II
Contact information
Practice address
4455 HORIZON HILL BLVD, SAN ANTONIO, TX 78229-2258
(210) 321-2700
(210) 321-2720
Mailing address
4455 HORIZON HILL BLVD, SAN ANTONIO, TX 78229-2258
(210) 321-2700
(210) 321-2720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
50261
OH
Other
Enumeration date
05/08/2009
Last updated
04/20/2017
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