Individual provider · Type 1 NPI

Catherine Violet Wilson, MFTI, R.N.

Mental Health Counselor · San Rafael, CA

NPI number 1194981233 Active

Practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Mailing address

28 Castlewood Dr
San Rafael, CA 94901-2525

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X51467 (CA)
Mental Health Counselor Primary 101YM0800X51467 (CA)

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About NPI 1194981233

Catherine Violet Wilson, MFTI, R.N.'s National Provider Identifier is 1194981233, issued on Jul 29, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 29, 2008.