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Miss Coral Lynn Wilson, RADT
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1063919769

Coral Lynn Wilson is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Coral Lynn Wilson practices in Sacramento, CA and has the professional credentials of RADT. The NPI Number for Coral Lynn Wilson is 1063919769 and holds a License No. (California).

The current practice location address for Coral Lynn Wilson is 4049 Miller Way, Sacramento, CA and can be reached out via phone at 916-451-9312 and via fax at 916-451-9312.

Location: 4049 Miller Way, Sacramento, CA, 95826-4420
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Provider Profile Details
NPI Number
1063919769
Provider Name
Coral Lynn Wilson
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
4049 Miller Way, Sacramento, CA, 95826-4420
Phone Number
916-451-9312
Fax Number
916-451-9312
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C340020 01 GATEWAY
institution
Provider Business Practice Location Address Details
Address
4049 Miller Way
City
State
Zip
95817-1332
Phone Number
916-451-9312
Fax Number
916-451-9312
person
Provider Business Mailing Address Details
Address
4049 Miller Way
City
State
Zip
95817-1332
Phone Number
916-451-9312
Fax Number
916-451-9312
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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