Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
999 E TUDOR RD, ANCHORAGE, AK 99503-6123
(907) 729-5040
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6801
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
249934
AK
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
03/24/2026
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