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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MFT.0001601 (CO) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Boulder Creek
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.