Individual
MAX E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1022 SANTA CLARA DR, SANTA FE, NM 87507-5136
(971) 712-3307
Mailing address
1022 SANTA CLARA DR, SANTA FE, NM 87507-5136
(971) 712-3307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2327
OR
Other
Enumeration date
08/18/2020
Last updated
04/03/2026
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