Individual
ADRIANA PATRICIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607-2247
(510) 273-4313
Mailing address
1266 14TH ST, OAKLAND, CA 94607-2247
(510) 273-4313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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