TIMOTHY JOSEPH WILSON

HAYWARD, CA
NPI1265019053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  14628-rac)
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
TIMOTHY JOSEPH WILSON
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
Mailing Address
TIMOTHY JOSEPH WILSON
21739 PRINCETON ST APT 4
HAYWARD, CA 94541-3888
Phone number: 408-910-3988
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