Individual provider · Type 1 NPI
Terra Renne Wilson, SAC II
Addiction (Substance Use Disorder) Counselor · Lower Lake, CA
NPI number
1821134271
Active
Practice location
9345 Winchester
Lower Lake, CA 95457
Fax (707) 995-7004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RI-G0505091545 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Lower Lake
About NPI 1821134271
Terra Renne Wilson, SAC II's National Provider Identifier is 1821134271, issued on Jan 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lower Lake, CA. The record was last updated on Aug 21, 2009.