Terra Renne Wilson in Lower Lake - Addiction (substance Use Disorder)
Terra Renne Wilson - NPI 1821134271
Terra Renne Wilson is a Addiction (substance Use Disorder) in Lower Lake, California. Terra Renne Wilson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Terra Renne Wilson is 1821134271. The last update date is 2009-08-21.
Terra Renne Wilson's current location address is 9345 Winchester, Lower Lake, California. You can contact this provider via phone number 7079953235 and fax number 7079957004. The mailing address for Terra Renne Wilson is 9345 Winchester, Lower Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terra Renne Wilson |
|---|---|
| Address | 9345 Winchester, Lower Lake, California |
| Phone Number | 7079953235 |
| Fax Number | 7079957004 |
| Sole Proprietor | Y |
| Credentials | SAC II |
NPI Number Detail
| NPI Number | 1821134271 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2009-08-21 |
Provider Mailing Address Detail
| Address | 9345 Winchester |
|---|---|
| City | Lower Lake |
| State | California (CA) |
| Post Code | 954575720 |
| Phone Number | 7079953235 |
| Fax Number | 7079957004 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RI-G0505091545 | CA | SUBSTANCE ABUSE DISORDER |
Post Comment/ Review Below
What is the unique identification code assigned to Terra Renne Wilson by the Centers for Medicare & Medicaid Services?
The Terra Renne Wilson has been issued the NPI (National Provider Identifier) 1821134271. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Terra Renne Wilson is located?
The Terra Renne Wilson is situated at the following address: 9345 Winchester, Lower Lake, CA, 954575720.
What is Terra Renne Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terra Renne Wilson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did the Terra Renne Wilson receive its 1821134271?
The Terra Renne Wilson was issued its 1821134271 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
When was the information related to Terra Renne Wilson most recently updated or refreshed?
The details pertaining to the Terra Renne Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-21.
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