Individual provider · Type 1 NPI

Tasha Monique Wilson

Addiction (Substance Use Disorder) Counselor · Manteca, CA

NPI number 1801550983 Active

Practice location

955 W Center St Ste 12A
Manteca, CA 95337-7327

Call (209) 239-9600 Map

Mailing address

955 W Center St Ste 12B
Manteca, CA 95337-7327

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801550983

Tasha Monique Wilson's National Provider Identifier is 1801550983, issued on Oct 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manteca, CA. The record was last updated on Nov 11, 2021.