Individual
MS. CATHERINE L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1152 SONOMA AVE, SEASIDE, CA 93955-5218
(831) 899-2436
Mailing address
1152 SONOMA AVE, SEASIDE, CA 93955-5218
(831) 899-2436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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