Individual
MAGDALENE ELISE WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCCI
Contact information
Practice address
4210 VIA ARBOLADA, UNIT 313, LOS ANGELES, CA 90042
(513) 476-5359
Mailing address
4210 VIA ARBOLADA, UNIT 313, LOS ANGELES, CA 90042
(513) 476-5359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8516
CA
101YP2500X
Professional Counselor
2131
CA
101YP2500X
Professional Counselor
Primary
8516
CA
Other
Enumeration date
04/17/2017
Last updated
06/29/2018
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