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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILSON BEZERRA FLANDERS, MA, LPCC, LMHC

Active Sole Proprietor

MR. WILSON BEZERRA FLANDERS, MA, LPCC, LMHC is a Professional Counselor healthcare provider located in MILL VALLEY, California. NPI 1720120256 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MILL VALLEY, CA

Registration Details

NPI Number
1720120256
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2007 (19.48411118466 yrs)
Last Updated
Dec 1, 2021
Licenses
MH 8586 (FL)
3092 (NY)
6018 (MA)
3902 (CA)
Sole Proprietor
Yes

Practice Information

Address
751 EBLITHEDALE AVE.
# 643
MILL VALLEY, CA, 949420643
Browse CA providers · Browse ZIP 94942
Phone
4156479839
Fax
4153901245
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in MILL VALLEY, CA

Name Credential NPI
LESLIE KATHLEEN HARA LPCC 1750664553
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.