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Shiva Wilson
Mental Health Counselor in Menlo Park, California
NPI 1902572308

Shiva Wilson is a Mental Health Counselor based in Menlo Park, CA and is specialized in Mental Health. Shiva Wilson practices in Menlo Park, CA. The NPI Number for Shiva Wilson is 1902572308 and holds a License No. 132296 (California).

The current practice location address for Shiva Wilson is 1225 Crane St Ste 205, Menlo Park, CA and can be reached out via phone at 650-394-5155.

Location: 1225 Crane St Ste 205, Menlo Park, CA, 94025-4253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902572308
Provider Name
Shiva Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 Crane St Ste 205, Menlo Park, CA, 94025-4253
Phone Number
650-394-5155
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 Crane St Ste 205
City
Menlo Park
State
California
Zip
94025-4253
Phone Number
650-394-5155
Fax Number
person
Provider Business Mailing Address Details
Address
1225 Crane St Ste 205
City
Menlo Park
State
California
Zip
94025-4253
Phone Number
650-394-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
132296 (California)
Definition
Definition to come...
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