Individual provider · Type 1 NPI

Miracle Elaine Wilson

Peer Specialist · Sacramento, CA

NPI number 1003431370 Active

Practice location

8912 Volunteer Ln
Sacramento, CA 95826-3221

Call (916) 344-0199 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003431370

Miracle Elaine Wilson's National Provider Identifier is 1003431370, issued on Jun 12, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 15, 2026.