JIL WILSON

FRESNO, CA
NPI1942452016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  W0811071114)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-10-21
Last Update Date2009-08-19
Business Address
-- JIL WILSON
3467 W SHAW AVE SUITE #102
FRESNO, CA 93711-3223
Phone number: 559-274-0456
Mailing Address
-- JIL WILSON
2008 N VAGEDES AVE
FRESNO, CA 93705-5147
Phone number: 559-593-9673