Sean Theron Wilscam

NPI #1720411366 in Mojave, California

Provider Information

NPI Number: 1720411366
Entity Type: Individual
Name: Sean Theron Wilscam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 16940 HIGHWAY 14
Address 2: STE. F
City: Mojave
State: California
ZIP Code: 93501-1238
Phone: (661) 824-5020

Specialties & Taxonomy Codes

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

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