Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WISTERIA JOY WOOD, AMFT/APCC
ActiveWISTERIA JOY WOOD, AMFT/APCC is a Marriage & Family Therapist healthcare provider located in TWAIN HARTE, California. NPI 1306685201 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · TWAIN HARTE, CA
Registration Details
- NPI Number
- 1306685201
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- May 21, 2024 (2.2462080584732 yrs)
- Last Updated
- Oct 8, 2024
- Licenses
-
16457 (CA)146560 (CA)
Practice Information
- Address
-
22846 BLACK HAWK DR # BTWAIN HARTE, CA, 953839536Browse CA providers · Browse ZIP 95383
- Phone
- 8182057738
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.