Organization
ADVANCED COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY LEE WILSON JR. LMFT (DIRECTOR)
(530) 605-1361
Entity
Organization
Contact information
Practice address
940 MERCHANT ST, REDDING, CA 96002-0627
(530) 605-1361
(530) 605-1363
Mailing address
940 MERCHANT ST, REDDING, CA 96002-0627
(530) 605-1361
(530) 605-1363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932265188
NPI INDIVIDUAL
—
Enumeration date
11/26/2018
Last updated
06/06/2019
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