Individual
JADE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 E COMMONWEALTH AVE, FULLERTON, CA 92831-4518
(425) 691-6936
Mailing address
2026 W BEACON AVE, ANAHEIM, CA 92804-4406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
04/25/2022
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