Individual provider · Type 1 NPI

Ashley Blair Wilson

Professional Counselor · Lago Vista, TX

NPI number 1972284263 Active

Practice location

6001 Cimmaron Trl
Lago Vista, TX 78645-5205

Mailing address

PO Box 4230
Lago Vista, TX 78645-0005

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1972284263

Ashley Blair Wilson's National Provider Identifier is 1972284263, issued on Jul 28, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lago Vista, TX. The record was last updated on Oct 2, 2024.