Individual provider · Type 1 NPI
Craig Michael Wilson
Counselor · San Luis Obispo, CA
NPI number
1609922574
Active
Practice location
3740 Orcutt Rd
San Luis Obispo, CA 93401-8365
Fax (805) 543-6092
Mailing address
PO Box 15408
San Luis Obispo, CA 93406-5408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1609922574
Craig Michael Wilson's National Provider Identifier is 1609922574, issued on Jan 25, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.