Individual provider · Type 1 NPI

Raven Wilson, MED, LPC-A

Mental Health Counselor · Friendswood, TX

NPI number 1609650134 Active

Practice location

1560 W Bay Area Blvd Ste 303
Friendswood, TX 77546-2681

Mailing address

10511 Sageberry Dr
Houston, TX 77089-2901

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X91896 (TX)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1609650134

Raven Wilson, MED, LPC-A's National Provider Identifier is 1609650134, issued on Aug 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Friendswood, TX. The record was last updated on Aug 24, 2023.