| NPI | 1033496245 |
|---|---|
| Professional Name | CARL WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 2784) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA8320316) |
| 101YM0800X Counselor, Mental Health (Licence: IA 074006) | |
| 101YM0800X Counselor, Mental Health (Licence: MO 2011031159) | |
| 101YP2500X Counselor, Professional (Licence: CA 2784) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2024-01-11 |