Individual provider · Type 1 NPI

Teresa Ann Combs Wilson, MA LPC

Mental Health Counselor · Portland, OR

NPI number 1194315549 Active

Practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-6106

Call (940) 363-0089 Map

Mailing address

4703 Augusta Ln
Wichita Falls, TX 76302-3327

Other practice locations

  • 4703 Augusta Ln, Wichita Falls, TX 76302-3327 · (940) 363-0089

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X85136 (TX)
Mental Health Counselor Primary 101YM0800XC10098 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1194315549

Teresa Ann Combs Wilson, MA LPC's National Provider Identifier is 1194315549, issued on Jan 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.