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Mr. Thomas D. Wilson III
Mental Health Counselor in Santa Cruz, California
NPI 1932303542

Thomas D. Wilson III is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Thomas D. Wilson III practices in Santa Cruz, CA. The NPI Number for Thomas D. Wilson III is 1932303542 and holds a License No. (California).

The current practice location address for Thomas D. Wilson III is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4941.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932303542
Provider Name
Thomas D. Wilson III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4941
Fax Number
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4941
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4941
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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