Individual
ADRIENNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 EMBARCADERO DEL NORTE STE 102, GOLETA, CA 93117-5106
(805) 699-6668
Mailing address
481 GOLDEN WEST PL, ARROYO GRANDE, CA 93420-3722
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
121299
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/16/2016
Last updated
10/08/2022
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