Individual
MS. WILMA JEAN COSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC BHC
Contact information
Practice address
564 RIO LINDO AVE, 204, CHICO, CA 95926-1852
(530) 879-3950
(530) 879-3949
Mailing address
564 RIO LINDO AVE, 204, CHICO, CA 95926-1852
(530) 879-3950
(530) 879-3949
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020576
CAADE
CA
Enumeration date
11/27/2006
Last updated
07/08/2007
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