person
Antwain Wilson
Mental Health Counselor in Lancaster, California
NPI 1114320611

Antwain Wilson is a Mental Health Counselor based in Lancaster, CA and is specialized in Mental Health. Antwain Wilson practices in Lancaster, CA. The NPI Number for Antwain Wilson is 1114320611 and holds a License No. IMF73683 (California).

The current practice location address for Antwain Wilson is 5300 W Avenue I, Lancaster, CA and can be reached out via phone at 661-940-4052.

Location: 5300 W Avenue I, Lancaster, CA, 93536-8312
person
Provider Profile Details
NPI Number
1114320611
Provider Name
Antwain Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5300 W Avenue I, Lancaster, CA, 93536-8312
Phone Number
661-940-4052
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5300 W Avenue I
City
State
Zip
93536-8312
Phone Number
661-940-4052
Fax Number
person
Provider Business Mailing Address Details
Address
5300 W Avenue I
City
State
Zip
93536-8312
Phone Number
661-940-4052
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF73683 (California)
Definition
Definition to come...
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