Individual
RACHEL L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 372-8972
Mailing address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 806-0866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC20710
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/04/2018
Last updated
09/25/2025
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