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Organization
WILSON FAMILY COUNSELING SERVICES
Active
Organization
WILSON FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WILSON-PARISH LMFT (DIRECTOR/CLINICAL SUPERVISOR)
(209) 740-9943
Entity
Organization
Contact information
Practice address
123 SYCAMORE AVE STE 103, MANTECA, CA 95336-4569
(120) 974-0994
(209) 707-3538
Mailing address
123 SYCAMORE AVE STE 103, MANTECA, CA 95336-4569
(122) 097-4099
(209) 707-3538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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