Individual
TERESA LOVE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
631 S ORCHARD AVE, UKIAH, CA 95482-5011
(707) 472-2922
(707) 467-4999
Mailing address
P.O. BOX 422, UKIAH, CA 95482
(707) 467-2000
(707) 467-4999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCI304
CA
Other
Enumeration date
10/10/2013
Last updated
03/08/2023
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