Wilson, Antonio M

Wilson, Antonio M is an sole proprietor health care provider with primary practice located at 3700 Ross Ave Apt 233 , Dallas TX 75204-5422. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Antonio M can be contacted via phone (318) 676-9403.

Contact Information

Primary practice address
3700 Ross Ave Apt 233 Dallas TX 75204-5422
Phone: (318) 676-9403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Texas
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 93275 Texas

Profile Details

NPI number 1871066787
LBN Legal business name Wilson, Antonio M
Credentials LPC-A, LCDC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2019
Last updated Mar 13th, 2024 - about last year

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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