ANTWAIN WILSON

Counselor - Mental Health

Active Individual
NPI: 1114320611

Practice Address

5300 W AVENUE I
Lancaster, CA 93536

Phone: (661) 940-4052

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes IMF73683 (CA)

Frequently Asked Questions

NPI 1114320611 is the National Provider Identifier for ANTWAIN WILSON, a Counselor - Mental Health provider located in Lancaster, CA. This NPI was enumerated on September 29, 2014.
ANTWAIN WILSON practices at 5300 W AVENUE I, Lancaster, CA 93536.

Quick Facts

NPI
1114320611
Type
Individual
Enumerated
Sep 29, 2014
Last Updated
Sep 29, 2014

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