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

Miss. Andrenique L. Wilson

Individual provider Case Manager/Care Coordinator · NPI 1265186027

Miss. Andrenique L. Wilson is a Case Manager/Care Coordinator in Valley Village, California. Licensed in California. Registered with an NPI since 2022.

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

Practice location Address checks out

12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955
Phone: (424) 262-8039
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 132269 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1265186027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024