Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Tyler Wilson

Individual provider Marriage & Family Therapist · NPI 1114549888

Andrew Tyler Wilson is a Marriage & Family Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1101 College Ave Ste 250
Santa Rosa, CA 95404-3952
Phone: (707) 568-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 152691 (CA)

Record details

NPI number1114549888
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2020
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing addressPo Box 4, Santa Rosa, CA 95402-0004

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