Individual
BRYCE HAMILTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1825 FORTVIEW RD STE 112G, AUSTIN, TX 78704-7658
(512) 630-0821
Mailing address
1825 FORTVIEW RD STE 112G, AUSTIN, TX 78704-7658
(512) 630-0821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69705
TX
Other
Enumeration date
03/29/2018
Last updated
06/16/2021
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