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Cody L Wilson
Mental Health Counselor in Conroe, Texas
NPI 1649863721

Cody L Wilson is a Mental Health Counselor based in Spring, TX and is specialized in Mental Health. Cody L Wilson practices in Conroe, TX. The NPI Number for Cody L Wilson is 1649863721 and holds a License No. 81173 (Texas).

The current practice location address for Cody L Wilson is 5452 Highway 105 W Ste 103, Conroe, TX and can be reached out via phone at 936-520-9124.

Location: 5452 Highway 105 W Ste 103, Conroe, TX, 77380-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649863721
Provider Name
Cody L Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5452 Highway 105 W Ste 103, Conroe, TX, 77380-2319
Phone Number
936-520-9124
Fax Number
Provider Enumeration Date
02/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5452 Highway 105 W Ste 103
City
Conroe
State
Texas
Zip
77304-1403
Phone Number
936-520-9124
Fax Number
person
Provider Business Mailing Address Details
Address
5452 Highway 105 W Ste 103
City
Conroe
State
Texas
Zip
77304-1403
Phone Number
936-520-9124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
81173 (Texas)
Definition
Definition to come...
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