CASPER S WILSON

VISTA, CA
NPI1689440026
Former NameSARA ANN MARTINEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1560290524)
Enumeration Date2023-11-28
Last Update Date2024-05-07
Business Address
CASPER S WILSON
1211 W VISTA WAY BLDG C
VISTA, CA 92083-6227
Phone number: 760-721-2781
Mailing Address
CASPER S WILSON
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: