Wilson, Shane

Wilson, Shane is an sole proprietor health care provider with primary practice located at 5577 W Beechwood Ave , Fresno CA 93722-2806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Shane can be contacted via phone (559) 355-3633.

Contact Information

Primary practice address
5577 W Beechwood Ave Fresno CA 93722-2806
Phone: (559) 355-3633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW101415 California

Profile Details

NPI number 1336314392
LBN Legal business name Wilson, Shane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Aug 25th, 2021 - about 3 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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