David Wilde
David Wilde is a Mental Health Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
914 Mission Ave 3rd FlSan Rafael, CA 94901-6106
Phone: (415) 457-6964
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1013182658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2008 |
| Last updated in NPPES | April 24, 2008 |
| Mailing address | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 |
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