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Organization
SOLUTIONS
Active
Organization
SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE ANN WILSON (OWNER)
(626) 255-8926
Entity
Organization
Contact information
Practice address
686 S ARROYO PKWY # 180, PASADENA, CA 91105-3233
(626) 255-8926
(626) 531-6886
Mailing address
686 S ARROYO PKWY # 180, PASADENA, CA 91105-3233
(626) 255-8926
(626) 531-6886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0004X
Health Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
167G00000X
Licensed Psychiatric Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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