Individual
CASSANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
6100 WESTERN PL STE 908, FORT WORTH, TX 76107-4600
(817) 751-7802
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78966
TX
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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