Individual
JEAN RACHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 BATH ST, SANTA BARBARA, CA 93101-3024
(805) 564-8701
Mailing address
1716 BATH ST APT 5, SANTA BARBARA, CA 93101-2965
(805) 563-0074
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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