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Corey Sean Wilson
Mental Health Counselor in Richmond, California
NPI 1679613210

Corey Sean Wilson is a Mental Health Counselor based in Richmond, CA and is specialized in Mental Health. Corey Sean Wilson practices in Richmond, CA. The NPI Number for Corey Sean Wilson is 1679613210 and holds a License No. (California).

The current practice location address for Corey Sean Wilson is 303 41St St, Richmond, CA and can be reached out via phone at 510-374-7090.

Location: 303 41St St, Richmond, CA, 94805-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679613210
Provider Name
Corey Sean Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
303 41St St, Richmond, CA, 94805-2221
Phone Number
510-374-7090
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
303 41St St
City
Richmond
State
California
Zip
94805-2221
Phone Number
510-374-7090
Fax Number
person
Provider Business Mailing Address Details
Address
303 41St St
City
Richmond
State
California
Zip
94805-2221
Phone Number
510-374-7090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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