Individual
ALEXIS MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3079 HARRISON AVE STE D, SOUTH LAKE TAHOE, CA 96150-7976
(530) 581-4054
Mailing address
3079 HARRISON AVE STE D, SOUTH LAKE TAHOE, CA 96150-7976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
02/25/2025
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