Individual
ASHLEY AYANNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3068 JOHNSON AVE, COSTA MESA, CA 92626-2819
(714) 485-8330
Mailing address
3068 JOHNSON AVE, COSTA MESA, CA 92626-2819
(714) 485-8330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
03/08/2018
Last updated
08/30/2022
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