David Wilde

NPI #1013182658 in San Rafael, California

Provider Information

NPI Number: 1013182658
Entity Type: Individual
Name: David Wilde
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 914 MISSION AVE
Address 2: 3RD FLOOR
City: San Rafael
State: California
ZIP Code: 94901-6106
Phone: (415) 457-6964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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