Individual
CHRISTIE ANNETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
Mailing address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(996) 786-1661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI35320322
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/23/2018
Last updated
04/29/2022
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