Individual provider · Type 1 NPI

Antwain Wilson

Mental Health Counselor · Lancaster, CA

NPI number 1114320611 Active

Practice location

5300 W Avenue I
Lancaster, CA 93536-8312

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF73683 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1114320611

Antwain Wilson's National Provider Identifier is 1114320611, issued on Sep 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lancaster, CA. The record was last updated on Sep 29, 2014.