Individual provider · Type 1 NPI

Marie Elizabeth Wilson

Mental Health Counselor · Santa Ana, CA

NPI number 1194076760 Active

Practice location

1666 N Main St, Ste. 400
Santa Ana, CA 92701-7417

Mailing address

26131 Pittsford
Lake Forest, CA 92630-7282

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194076760

Marie Elizabeth Wilson's National Provider Identifier is 1194076760, issued on Sep 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 3, 2013.