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Mrs. Bianca Michelle Wilson
Marriage & Family Therapist in San Rafael, California
NPI 1043405525

Bianca Michelle Wilson is a Marriage & Family Therapist based in Chico, CA. Bianca Michelle Wilson practices in San Rafael, CA. The NPI Number for Bianca Michelle Wilson is 1043405525 and holds a License No. 59219 (California).

The current practice location address for Bianca Michelle Wilson is 10 N San Pedro Rd Ste 1020, San Rafael, CA and can be reached out via phone at 415-473-4306 and via fax at 415-473-4307.

Location: 10 N San Pedro Rd Ste 1020, San Rafael, CA, 95973-5404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043405525
Provider Name
Bianca Michelle Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 N San Pedro Rd Ste 1020, San Rafael, CA, 95973-5404
Phone Number
415-473-4306
Fax Number
415-473-4307
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-1063 01 CA FQHC MEDICARE PART A
ZZZ29799Z 01 CA FQHC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
10 N San Pedro Rd Ste 1020
City
San Rafael
State
California
Zip
94903-4155
Phone Number
415-473-4306
Fax Number
415-473-4307
person
Provider Business Mailing Address Details
Address
10 N San Pedro Rd Ste 1020
City
San Rafael
State
California
Zip
94903-4155
Phone Number
415-473-4306
Fax Number
415-473-4307
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
59219 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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