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Lakeisha Wilson
Addiction (Substance Use Disorder) Counselor in El Sobrante, California
NPI 1134762081

Lakeisha Wilson is an Addiction (Substance Use Disorder) Counselor based in El Sobrante, CA and is specialized in Addiction (Substance Use Disorder). Lakeisha Wilson practices in El Sobrante, CA. The NPI Number for Lakeisha Wilson is 1134762081 and holds a License No. 13438-R (California).

The current practice location address for Lakeisha Wilson is 3575 San Pablo Dam Rd Ste 100, El Sobrante, CA and can be reached out via phone at 510-396-2879.

Location: 3575 San Pablo Dam Rd Ste 100, El Sobrante, CA, 94803-7203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134762081
Provider Name
Lakeisha Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3575 San Pablo Dam Rd Ste 100, El Sobrante, CA, 94803-7203
Phone Number
510-396-2879
Fax Number
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3575 San Pablo Dam Rd Ste 100
City
El Sobrante
State
California
Zip
94803-7203
Phone Number
510-396-2879
Fax Number
person
Provider Business Mailing Address Details
Address
3575 San Pablo Dam Rd Ste 100
City
El Sobrante
State
California
Zip
94803-7203
Phone Number
510-396-2879
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
13438-R (California)
Definition
Definition to come...
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