MS. Terra Renne Wilson, SACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821134271

MS. Terra Renne Wilson, SACII is an Addiction (Substance Use Disorder) Counselor in Lower Lake, California. Practices as a sole proprietor. Licensed in California.

Licensed in: CA
In the registry since: 2007
Specialties on file: 2

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Practice location Address checks out

9345 Winchester
Lower Lake, CA 95457
Phone: (707) 995-3235
Fax: (707) 995-7004

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence RI-G0505091545 (CA)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X

Record details

NPI number	1821134271
Entity type	Individual (Type 1)
Gender	Female
Credentials	SACII
Sole proprietor	Yes
NPI enumerated	January 30, 2007
Last updated in NPPES	August 21, 2009