Wilson Family Counseling Services | |
123 Sycamore Ave Ste 103 Manteca CA 95336-4569 | |
(120) 974-0994 | |
(209) 707-3538 |
Full Name | Wilson Family Counseling Services |
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Speciality | Counselor - Mental Health |
Location | 123 Sycamore Ave Ste 103, Manteca, California |
Authorized Official Name and Position | Kathleen Wilson-parish (DIRECTOR/CLINICAL SUPERVISOR) |
Authorized Official Contact | 2097409943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilson Family Counseling Services 123 Sycamore Ave Ste 103 Manteca CA 95336-4569 Ph: (122) 097-4099 | Wilson Family Counseling Services 123 Sycamore Ave Ste 103 Manteca CA 95336-4569 Ph: (120) 974-0994 |
NPI Number | 1538757703 |
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Provider Enumeration Date | 01/04/2021 |
Last Update Date | 01/04/2021 |
Certification Date | 01/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538757703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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San Joaquin County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lehr Pl, Manteca, CA 95336 Phone: 209-275-7196 | |
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