Individual
MRS. LOREE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./PPS/APCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
948
CA
101YS0200X
School Counselor
Primary
160255235
CA
Other
Enumeration date
02/25/2013
Last updated
03/17/2018
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