person
Ms. Terra Renne Wilson, SACII
Addiction (Substance Use Disorder) Counselor in Lower Lake, California
NPI 1821134271

Terra Renne Wilson is an Addiction (Substance Use Disorder) Counselor based in Lower Lake, CA and is specialized in Addiction (Substance Use Disorder). Terra Renne Wilson practices in Lower Lake, CA and has the professional credentials of SACII. The NPI Number for Terra Renne Wilson is 1821134271 and holds a License No. (California).

The current practice location address for Terra Renne Wilson is 9345 Winchester, Lower Lake, CA and can be reached out via phone at 707-995-3235 and via fax at 707-995-7004.

Location: 9345 Winchester, Lower Lake, CA, 95457-5720
person
Provider Profile Details
NPI Number
1821134271
Provider Name
Terra Renne Wilson
Credential
SACII
Provider Entity Type
Individual
Gender
Female
Address
9345 Winchester, Lower Lake, CA, 95457-5720
Phone Number
707-995-3235
Fax Number
707-995-7004
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RI-G0505091545 01 CA SUBSTANCE ABUSE DISORDER
institution
Provider Business Practice Location Address Details
Address
9345 Winchester
City
State
Zip
95457
Phone Number
707-995-3235
Fax Number
707-995-7004
person
Provider Business Mailing Address Details
Address
9345 Winchester
City
State
Zip
95457
Phone Number
707-995-3235
Fax Number
707-995-7004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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