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Gerald Lee Wilson
Peer Specialist in Ontario, California
NPI 1194360248

Gerald Lee Wilson is a Peer Specialist based in Ontario, CA. Gerald Lee Wilson practices in Ontario, CA. The NPI Number for Gerald Lee Wilson is 1194360248 and holds a License No. (California).

The current practice location address for Gerald Lee Wilson is 2940 Inland Empire Blvd, Ontario, CA and can be reached out via phone at 909-458-1335.

Location: 2940 Inland Empire Blvd, Ontario, CA, 91764-4898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194360248
Provider Name
Gerald Lee Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2940 Inland Empire Blvd, Ontario, CA, 91764-4898
Phone Number
909-458-1335
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764-4898
Phone Number
909-458-1335
Fax Number
person
Provider Business Mailing Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764-4898
Phone Number
909-458-1335
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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