Individual provider · Type 1 NPI

Kathi Wilson, LPC-ASSOCIATE

Professional Counselor · Laguna Vista, TX

NPI number 1508778143 Active

Practice location

701 Santa Isabel Blvd # 3
Laguna Vista, TX 78578-2647

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X104130 (TX)
Student in an Organized Health Care Education/Training Program 390200000X71456 (TX)
Addiction (Substance Use Disorder) Counselor 101YA0400X71456 (TX)

Professional Counselor: Definition to come...

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About NPI 1508778143

Kathi Wilson, LPC-ASSOCIATE's National Provider Identifier is 1508778143, issued on Sep 18, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laguna Vista, TX. The record was last updated on Oct 23, 2026.