Individual
KRISTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-CRZHGO
CA
Other
Enumeration date
03/14/2023
Last updated
10/30/2024
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