Individual
CHERYL DOVE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
547 UREN ST, NEVADA CITY, CA 95959-2334
(805) 459-8742
Mailing address
PO BOX 2245, GRANITE BAY, CA 95746-2245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC9526
CA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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