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Individual
BREANNA NICOLE WILSON
Active
Individual
BREANNA NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AMFT, APCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
22661
CA
106H00000X
Marriage & Family Therapist
Primary
163437
CA
171400000X
Health & Wellness Coach
F52B75186E
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2025
Last updated
08/02/2026
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