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

Antoinette R Wilson-Edwards

Individual provider Mental Health Counselor · NPI 1104562735

Antoinette R Wilson-Edwards is a Mental Health Counselor in Fairfield, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

480 Chadbourne Rd
Fairfield, CA 94534-9639
Phone: (707) 429-4440
Show map & directions

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

Additional practice locations (1)

  • 1234 Empire St, Fairfield, CA 94533-5711 — (707) 432-8549

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)

Record details

NPI number1104562735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2022
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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