SearchCalifornia1041C0700X

Wayne Wilson, LCSW

NPI 1841737673 · on the registry since 2017 · sole proprietor

Practice

Address
70 East Terrace Dr
Altadena, CA 91101
Phone
(707) 797-0064

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California