# WULSIN MARRIAGE, FAMILY, AND CHILD THERAPY

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

## Provider details

- **NPI number:** 1992635163
- **Authorized official:** JESSICA ROSE WULSIN LMFT (OWNER)
- **Authorized official phone:** (415) 420-2535

## Contact information

- **Practice address:** 31 S SUNSET DR, LODI, CA 95240-2832
- **Practice address phone:** (415) 420-2535
- **Mailing address:** 31 S SUNSET DR, LODI, CA 95240-2832
- **Mailing address phone:** (415) 420-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2026
- **Last updated:** 05/20/2026
