Individual
MR. JAMES RANDOLPH WILSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2632 CABRILLO ST, SAN FRANCISCO, CA 94121-3626
(407) 463-3204
Mailing address
2632 CABRILLO ST, SAN FRANCISCO, CA 94121-3626
(407) 463-3204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC6545
CA
Other
Enumeration date
01/12/2016
Last updated
04/24/2024
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