Individual
JASON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 HURLEY WAY STE 145, SACRAMENTO, CA 95825-3231
(310) 702-5792
Mailing address
7332 VILLA DEL SOL LN, CITRUS HEIGHTS, CA 95621-7330
(310) 702-5792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/21/2013
Last updated
12/11/2025
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