Individual provider · Type 1 NPI
Cassandra Denise Wilson
Addiction (Substance Use Disorder) Counselor · East Palo Alto, CA
NPI number
1629419734
Active
Practice location
280 Verbena Dr
East Palo Alto, CA 94303-2522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101605 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629419734
Cassandra Denise Wilson's National Provider Identifier is 1629419734, issued on Jul 17, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Palo Alto, CA. The record was last updated on Jul 17, 2013.