Individual provider · Type 1 NPI

Sean Theron Wilscam

Mental Health Counselor · Mojave, CA

NPI number 1720411366 Active

Practice location

16940 Highway 14, Ste. F
Mojave, CA 93501-1238

Fax (661) 824-5026

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720411366

Sean Theron Wilscam's National Provider Identifier is 1720411366, issued on Aug 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mojave, CA. The record was last updated on Aug 19, 2013.