Individual
MRS. AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
17000 S HARLAN RD, LATHROP, CA 95330-8738
(209) 647-7586
Mailing address
PO BOX 577162, MODESTO, CA 95357-7162
(209) 647-7586
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 53252
CA
Other
Enumeration date
11/14/2006
Last updated
08/04/2023
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