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Iyana M Wilson
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1265132401

Iyana M Wilson is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Iyana M Wilson practices in Stockton, CA. The NPI Number for Iyana M Wilson is 1265132401 and holds a License No. (California).

The current practice location address for Iyana M Wilson is 8626 Lower Sacramento Rd Ste 41, Stockton, CA and can be reached out via phone at 209-554-5188.

Location: 8626 Lower Sacramento Rd Ste 41, Stockton, CA, 95210-1835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265132401
Provider Name
Iyana M Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8626 Lower Sacramento Rd Ste 41, Stockton, CA, 95210-1835
Phone Number
209-554-5188
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8626 Lower Sacramento Rd Ste 41
City
Stockton
State
California
Zip
95210-1835
Phone Number
209-554-5188
Fax Number
person
Provider Business Mailing Address Details
Address
8626 Lower Sacramento Rd Ste 41
City
Stockton
State
California
Zip
95210-1835
Phone Number
209-554-5188
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.
()
Definition
Definition to come...
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