Individual provider · Type 1 NPI

Jada Gradine Wilson

Mental Health Counselor · Richmond, CA

NPI number 1881732865 Active

Practice location

5860 Mcbryde Ave
Richmond, CA 94805-1162

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1881732865

Jada Gradine Wilson's National Provider Identifier is 1881732865, issued on Feb 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.