Marissa Nicole Wilson
NPI #1366056947 in Daly City, California
Provider Information
- NPI Number
- 1366056947
- Entity Type
- Individual
- Name
- Marissa Nicole Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 227 BUENA VISTA AVE
- City
- Daly City
- State
- California
- ZIP Code
- 94015-2120
- Phone
- (951) 505-1991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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