Individual provider · Type 1 NPI

Ivory Petree Wilson

Marriage & Family Therapist · Chula Vista, CA

NPI number 1538066865 Active

Practice location

2300 Boswell Rd Ste 125
Chula Vista, CA 91914-3523

Call (888) 688-0248 Map

Mailing address

PO Box 880525
San Diego, CA 92168-0525

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X22888 (CA)
Marriage & Family Therapist Primary 106H00000X163929 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1538066865

Ivory Petree Wilson's National Provider Identifier is 1538066865, issued on Oct 21, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Chula Vista, CA. The record was last updated on Oct 21, 2026.