Individual
MR. ALLEN C WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4505 TAFT AVE, RICHMOND, CA 94804-3449
(510) 235-3172
Mailing address
1231 BANCROFT WAY, BERKELEY, CA 94702-1850
(510) 540-7161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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