Individual
BRIGITTE ILENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 ENTERPRISE DR, SUITE 105A, FAIRFIELD, CA 94533-6822
(707) 425-1799
(707) 425-1081
Mailing address
2241 GEORGIA ST, NAPA, CA 94559-1134
(707) 258-9030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2012
Last updated
06/30/2012
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