Teresa Love Wilson, L.P.C.C.

NPI #1992132757 in Ukiah, California

Provider Information

NPI Number: 1992132757
Entity Type: Individual
Name: Teresa Love Wilson, L.P.C.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: L.P.C.C.
Enumeration Date: Oct 10, 2013
Last Updated: Mar 8, 2023

Practice Location

Address: 631 S ORCHARD AVE
City: Ukiah
State: California
ZIP Code: 95482-5011
Phone: (707) 472-2922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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