Individual provider · Type 1 NPI

Micheal Wilson

Counselor · Upland, CA

NPI number 1316138738 Active

Practice location

916 N Mountain Ave, Suite A
Upland, CA 91786-3697

Call (909) 932-1069 Map

Mailing address

1352 W 5th St
Ontario, CA 91762-1457

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316138738

Micheal Wilson's National Provider Identifier is 1316138738, issued on Aug 9, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Upland, CA. The record was last updated on Aug 9, 2007.