Individual
CORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 S MAIN ST STE 201, CORONA, CA 92882-5303
(951) 279-1333
Mailing address
41009 CHAMBORD DR, LAKE ELSINORE, CA 92532-1533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
09/27/2023
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