Teresa Lynn Wilson

NPI #1245682392 in Lucerne, California

Provider Information

NPI Number: 1245682392
Entity Type: Individual
Name: Teresa Lynn Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 12, 2016
Last Updated: Apr 11, 2019

Practice Location

Address: 6302 THIRTEENTH AVENUE
City: Lucerne
State: California
ZIP Code: 95458
Phone: (707) 274-9101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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