Individual provider · Type 1 NPI

Marianne Wilson

Mental Health Counselor · Mount Shasta, CA

NPI number 1679731830 Active

Practice location

1107 Ream Ave
Mount Shasta, CA 96067-9768

Call (530) 926-1436 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679731830

Marianne Wilson's National Provider Identifier is 1679731830, issued on May 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Shasta, CA. The record was last updated on May 23, 2008.