person
Brandon T Wilson
Counselor in Portales, New Mexico
NPI 1952620502

Brandon T Wilson is a Counselor based in Santa Fe, NM. Brandon T Wilson practices in Portales, NM. The NPI Number for Brandon T Wilson is 1952620502 and holds a License No. (New Mexico).

The current practice location address for Brandon T Wilson is 1111 W Fir St, Portales, NM and can be reached out via phone at 575-345-5112.

Location: 1111 W Fir St, Portales, NM, 87592-8220
person
Provider Profile Details
NPI Number
1952620502
Provider Name
Brandon T Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 W Fir St, Portales, NM, 87592-8220
Phone Number
575-345-5112
Fax Number
Provider Enumeration Date
05/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 W Fir St
City
State
Zip
88130-5826
Phone Number
575-345-5112
Fax Number
person
Provider Business Mailing Address Details
Address
1111 W Fir St
City
State
Zip
88130-5826
Phone Number
575-345-5112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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