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Individual

MICHAEL JOSEPH WASILCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
162 E CARSON ST, COLUSA, CA 95932-2880
(530) 956-3710
Mailing address
418 WHITEROCK DR, YUBA CITY, CA 95991-8245
(530) 956-3710

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
372600000X
Adult Companion
Primary
CA
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
10/02/2024
Last updated
06/15/2026
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