Tasha Monique Wilson
NPI #1801550983 in Manteca, California
Provider Information
- NPI Number
- 1801550983
- Entity Type
- Individual
- Name
- Tasha Monique Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 26, 2021
- Last Updated
- Nov 11, 2021
Practice Location
- Address
- 955 W CENTER ST STE 12A
- City
- Manteca
- State
- California
- ZIP Code
- 95337-7327
- Phone
- (209) 239-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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