Misty D Wilson, LMFT
NPI #1285988840 in Benicia, California
Provider Information
- NPI Number
- 1285988840
- Entity Type
- Individual
- Name
- Misty D Wilson, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Nov 5, 2012
- Last Updated
- Nov 5, 2012
Practice Location
- Address
- 816 BANTRY WAY
- City
- Benicia
- State
- California
- ZIP Code
- 94510-3804
- Phone
- (707) 373-6260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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