KELLI ANNE WILSON

SANTA ANA, CA
NPI1710306097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  W0408271804)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
-- KELLI ANNE WILSON RAS
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
Mailing Address
-- KELLI ANNE WILSON RAS
2026 POINSETTIA ST
SANTA ANA, CA 92706-2922
Phone number: 714-599-6473