Individual provider · Type 1 NPI

Wilson Bezerra Flanders, MA, LPCC, LMHC

Professional Counselor · Mill Valley, CA

NPI number 1720120256 Active

Practice location

751 Eblithedale Ave., # 643
Mill Valley, CA 94942-0643

Fax (415) 390-1245

Mailing address

751 Eblithedale Ave. # 643
Mill Valley, CA 94942-0643

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH 8586 (FL)
Mental Health Counselor 101YM0800X3092 (NY)
Mental Health Counselor 101YM0800X6018 (MA)
Professional Counselor Primary 101YP2500X3902 (CA)

Professional Counselor: Definition to come...

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About NPI 1720120256

Wilson Bezerra Flanders, MA, LPCC, LMHC's National Provider Identifier is 1720120256, issued on Feb 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mill Valley, CA. The record was last updated on Dec 1, 2021.