Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TERRA RENNE WILSON, SAC II
Active Sole ProprietorMS. TERRA RENNE WILSON, SAC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LOWER LAKE, California. NPI 1821134271 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LOWER LAKE, CA
Registration Details
- NPI Number
- 1821134271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2007 (19.357126998032 yrs)
- Last Updated
- Aug 21, 2009
- License
-
RI-G0505091545 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9345 WINCHESTERLOWER LAKE, CA, 95457Browse CA providers · Browse ZIP 95457
- Phone
- 7079953235
- Fax
- 7079957004
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
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.