Lakeisha Wilson
NPI #1134762081 in El Sobrante, California
Provider Information
- NPI Number
- 1134762081
- Entity Type
- Individual
- Name
- Lakeisha Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 23, 2019
- Last Updated
- Oct 23, 2019
Practice Location
- Address
- 3575 SAN PABLO DAM RD STE 100
- City
- El Sobrante
- State
- California
- ZIP Code
- 94803-7203
- Phone
- (510) 396-2879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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| Nicole Marie Koprek | |
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Organizations
| Provider Name | |
|---|---|
| Reseda Substance Abuse Treatment Center |
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