Individual
MARY-ANNE WIJTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 BROWN RD, SAN JUAN BAUTISTA, CA 95045-9676
(831) 444-1747
Mailing address
PO BOX 1181, SAN JUAN BAUTISTA, CA 95045-1181
(831) 444-1747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC 2824
CA
Other
Enumeration date
03/16/2015
Last updated
02/10/2024
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