Organization
DR. REBECCA WILSON PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA WILSON PSY.D. (CEO)
(413) 262-1405
Entity
Organization
Contact information
Practice address
3150 18TH ST STE 534, SAN FRANCISCO, CA 94110-2074
(413) 262-1405
Mailing address
1395 GOLDEN GATE AVE APT 102, SAN FRANCISCO, CA 94115-4737
(413) 262-1405
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
11/09/2019
Last updated
11/09/2019
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