Wilson, Teresa Lynn

Wilson, Teresa Lynn is an individual health care provider with primary practice located at 6302 Thirteenth Avenue , Lucerne CA 95458. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Teresa Lynn can be contacted via phone (707) 274-9101.

Contact Information

Primary practice address
6302 Thirteenth Avenue Lucerne CA 95458
Phone: (707) 274-9101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1245682392
LBN Legal business name Wilson, Teresa Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Apr 11th, 2019 - 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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