Individual provider · Type 1 NPI

Jennifer Mary Wilson, LMFT

Mental Health Counselor · Boulder Creek, CA

NPI number 1760108245 Active

Practice location

12895 Highway 9
Boulder Creek, CA 95006-9114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT.0001601 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1760108245

Jennifer Mary Wilson, LMFT's National Provider Identifier is 1760108245, issued on Oct 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder Creek, CA. The record was last updated on Oct 17, 2022.