Individual
ANTOINETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(623) 282-1789
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(623) 282-1789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21027
NC
Other
Enumeration date
02/26/2025
Last updated
04/21/2026
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