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Mr. Timothy Decarlo Wilson
Mental Health Counselor in San Leandro, California
NPI 1699965145

Timothy Decarlo Wilson is a Mental Health Counselor based in San Leandro, CA and is specialized in Mental Health. Timothy Decarlo Wilson practices in San Leandro, CA. The NPI Number for Timothy Decarlo Wilson is 1699965145 and holds a License No. (California).

The current practice location address for Timothy Decarlo Wilson is 2275 Arlington Dr, San Leandro, CA and can be reached out via phone at 510-481-1222.

Location: 2275 Arlington Dr, San Leandro, CA, 94578-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699965145
Provider Name
Timothy Decarlo Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 Arlington Dr, San Leandro, CA, 94578-1132
Phone Number
510-481-1222
Fax Number
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-481-1222
Fax Number
person
Provider Business Mailing Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-481-1222
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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