Individual provider · Type 1 NPI

Alexandrea Summer Wilson, MA

Mental Health Counselor · Watsonville, CA

NPI number 1205569779 Active

Practice location

411 E Lake Ave
Watsonville, CA 95076-4424

Mailing address

2630 Portola Dr Spc 74
Santa Cruz, CA 95062-5039

Other practice locations

  • 300 Sill Rd, Royal Oaks, CA 95076-5619 · (831) 728-6371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205569779

Alexandrea Summer Wilson, MA's National Provider Identifier is 1205569779, issued on Jul 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watsonville, CA. The record was last updated on Jul 2, 2022.