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Mrs. Jeannette Wilson
Mental Health Counselor in Fairfield, California
NPI 1063905727

Jeannette Wilson is a Mental Health Counselor based in Fairfield, CA and is specialized in Mental Health. Jeannette Wilson practices in Fairfield, CA. The NPI Number for Jeannette Wilson is 1063905727 and holds a License No. 105907 (California).

The current practice location address for Jeannette Wilson is 801 Empire St, Fairfield, CA and can be reached out via phone at 707-425-5744.

Location: 801 Empire St, Fairfield, CA, 94533-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063905727
Provider Name
Jeannette Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 Empire St, Fairfield, CA, 94533-5702
Phone Number
707-425-5744
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 Empire St
City
Fairfield
State
California
Zip
94533-5702
Phone Number
707-425-5744
Fax Number
person
Provider Business Mailing Address Details
Address
801 Empire St
City
Fairfield
State
California
Zip
94533-5702
Phone Number
707-425-5744
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
105907 (California)
Definition
Definition to come...
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