Wilson, Antoinette Renee

Wilson, Antoinette Renee is an individual health care provider with primary practice located at 7345 Maude Adams Ave , Twentynine Palms CA 92277-3837. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wilson, Antoinette Renee can be contacted via phone (442) 214-5265.

Contact Information

Primary practice address
7345 Maude Adams Ave Twentynine Palms CA 92277-3837
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013553 Michigan

Profile Details

NPI number 1225474265
LBN Legal business name Wilson, Antoinette Renee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated Jun 1st, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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