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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Lancaster
State
California
Zip
93536-8312
Phone Number
661-940-4052
Fax Number
person
Provider Business Mailing Address Details
Address
5300 W Avenue I
City
Lancaster
State
California
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
101YM0800X
License No.
IMF73683 (California)
Definition
Definition to come...
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