Individual provider · Type 1 NPI
Theresa Lee Wilson, M.A. LPC
Professional Counselor · Lubbock, TX
NPI number
1073001806
Active
Practice location
3705 Avenue A
Lubbock, TX 79404-2439
Mailing address
5508 28th St
Lubbock, TX 79407-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 75787 (TX) |
Professional Counselor: Definition to come...
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About NPI 1073001806
Theresa Lee Wilson, M.A. LPC's National Provider Identifier is 1073001806, issued on Apr 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on Apr 26, 2018.