MS. Terra Renne Wilson, SAC II
NPI #1821134271 in Lower Lake, California
Provider Information
- NPI Number
- 1821134271
- Entity Type
- Individual
- Name
- MS. Terra Renne Wilson, SAC II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SAC II
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 21, 2009
Practice Location
- Address
- 9345 WINCHESTER
- City
- Lower Lake
- State
- California
- ZIP Code
- 95457
- Phone
- (707) 995-3235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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