MARY DELORES WILSON MFTI
NPI 1124542592
Marriage & Family Therapist in Fairfield, CA

Q: What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1124542592. It was assigned to this individual provider in the NPPES registry on July 27, 2017. The provider is also known as Na Na Na Na.

Q: What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2017

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2238(707) 425-4038 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 16, 2018, Jul 27, 2017 (2 updates tracked since 2017).

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About Mary Delores Wilson Mfti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DELORES WILSON MFTI (NPI 1124542592) is an individual marriage & family therapist in Fairfield, California, licensed in California (132410) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1124542592

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARY DELORES WILSONCredential: MFTI

Location Address2101 COURAGE DRFairfield, CA 94533-6717

Mailing AddressPo Box 132Vacaville, CA 95696-0132 · (707) 301-6262

Phone(707) 784-2238

Fax(707) 425-4038

Sole ProprietorNo

Enumeration DateJuly 27, 2017

Last NPPES UpdateMay 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1124542592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 132410✔ Licensed in CA · 92709

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2101 COURAGE DR, Fairfield, CA 94533

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Other Names 1

Other Name (5)Na Na Na Na

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse