Individual provider · Type 1 NPI

Jacquell Y. Wilson

Mental Health Counselor · Sacramento, CA

NPI number 1205027083 Active

Practice location

4600 47th Ave
Sacramento, CA 95824-3923

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1205027083

Jacquell Y. Wilson's National Provider Identifier is 1205027083, issued on Aug 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Aug 6, 2007.