# WILLSON THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134007164
- **Authorized official:** MRS. ANDREA TERESA WILLSON LMFT (OWNER)
- **Authorized official phone:** (650) 800-3797

## Contact information

- **Practice address:** 101 JEFFERSON DR, MENLO PARK, CA 94025-1114
- **Practice address phone:** (650) 800-3797
- **Mailing address:** 101 JEFFERSON DR, MENLO PARK, CA 94025-1114
- **Mailing address phone:** (650) 800-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 08/26/2025