Organization
EXCAVATE COUNSELING & CONSULTING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE WILSON LCPC (COUNSELOR)
(312) 971-6844
Entity
Organization
Contact information
Practice address
4040 SPRING VALLEY RD APT 216D, FARMERS BRANCH, TX 75244-3810
(312) 971-6844
Mailing address
4040 SPRING VALLEY RD APT 216D, FARMERS BRANCH, TX 75244-3810
(312) 971-6844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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