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

Lacy Ann Wildenberg

Individual provider Marriage & Family Therapist · NPI 1669722880

Lacy Ann Wildenberg is a Marriage & Family Therapist in Watsonville, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

335 E Lake Ave
Watsonville, CA 95076-4826
Phone: (831) 728-6445
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 117285 (CA)

Record details

NPI number1669722880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2012
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020
Mailing address335 E Lake Ave, Watsonville, CA 95076-4826

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