Individual
ALEXANDREA SUMMER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
411 E LAKE AVE, WATSONVILLE, CA 95076-4424
(831) 728-6445
Mailing address
2630 PORTOLA DR SPC 74, SANTA CRUZ, CA 95062-5039
(602) 422-6626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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