Individual
MR. CRAIG MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3740 ORCUTT RD, SAN LUIS OBISPO, CA 93401-8365
(805) 543-6071
(805) 543-6092
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 543-6071
(805) 543-6092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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