Individual provider · Type 1 NPI

Jenna Wilson

Counselor · Santa Monica, CA

NPI number 1407290331 Active

Practice location

1328 2nd St
Santa Monica, CA 90401-1122

Fax (310) 576-1027

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 1407290331

Jenna Wilson's National Provider Identifier is 1407290331, issued on Apr 22, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 22, 2013.