Individual
ALAN ERIC WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 N VULCAN AVE APT 209, ENCINITAS, CA 92024-1780
(541) 728-8062
Mailing address
925 N VULCAN AVE APT 209, ENCINITAS, CA 92024-1780
(541) 728-8062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
27605
CA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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