Wilson, Misherlae

Wilson, Misherlae is an individual health care provider with primary practice located at 1500 S Mcdonnell Ave , Commerce CA 90040-5623. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wilson, Misherlae can be contacted via phone (323) 981-4301.

Contact Information

Primary practice address
1500 S Mcdonnell Ave Commerce CA 90040-5623
Phone: (323) 981-4301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT89617 California

Profile Details

NPI number 1295130805
LBN Legal business name Wilson, Misherlae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Apr 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295130805 NPPES
California MEDICAID 3300A

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