Individual
ANTONIO M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3423 WUTHERING HEIGHTS DR, HOUSTON, TX 77045-4552
(318) 676-9403
Mailing address
1810 MAIN ST APT 707, HOUSTON, TX 77002-7887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
93275
TX
101YP2500X
Professional Counselor
93275
TX
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/03/2019
Last updated
01/15/2026
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