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Julie Rae Wilson
Addiction (Substance Use Disorder) Counselor in Corona, California
NPI 1366008799

Julie Rae Wilson is an Addiction (Substance Use Disorder) Counselor based in Corona, CA and is specialized in Addiction (Substance Use Disorder). Julie Rae Wilson practices in Corona, CA. The NPI Number for Julie Rae Wilson is 1366008799 and holds a License No. 6371 (California).

The current practice location address for Julie Rae Wilson is 109 E 11Th St, Corona, CA and can be reached out via phone at 951-427-3482.

Location: 109 E 11Th St, Corona, CA, 92879-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366008799
Provider Name
Julie Rae Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 E 11Th St, Corona, CA, 92879-2157
Phone Number
951-427-3482
Fax Number
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 E 11Th St
City
Corona
State
California
Zip
92879-2157
Phone Number
951-427-3482
Fax Number
person
Provider Business Mailing Address Details
Address
109 E 11Th St
City
Corona
State
California
Zip
92879-2157
Phone Number
951-427-3482
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.
6371 (California)
Definition
Definition to come...
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