Provider Demographics
NPI:1114304763
Name:WILSON, MARGARET NINA (MA, LPC INTERN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:NINA
Last Name:WILSON
Suffix:
Gender:F
Credentials:MA, LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 GESSNER RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2515
Mailing Address - Country:US
Mailing Address - Phone:713-876-5788
Mailing Address - Fax:713-461-6277
Practice Address - Street 1:929 GESSNER RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2515
Practice Address - Country:US
Practice Address - Phone:713-876-5788
Practice Address - Fax:713-461-6277
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73890101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health