Individual
ANTOINETTE R WILSON-EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(707) 429-4440
Mailing address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 691-6063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
07/11/2025
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