Individual
CARLA GWEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHRS, MA, PPS
Contact information
Practice address
516 CREEKSIDE LN, MORGAN HILL, CA 95037-4635
(408) 509-9602
Mailing address
516 CREEKSIDE LN, MORGAN HILL, CA 95037-4635
(408) 509-9602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
CA
101YS0200X
School Counselor
—
CA
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/26/2018
Last updated
04/12/2023
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