JESSICA FAYE WILSON AMFT
NPI 1215780598
Counselor - Mental Health in Santa Cruz, CA
Active since April 08, 2024
About Jessica Faye Wilson Amft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA FAYE WILSON AMFT (NPI 1215780598) is an individual mental health provider in Santa Cruz, California, licensed in California (145995) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1215780598
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA FAYE WILSONCredential: AMFT
Location Address127 JEWELL STSanta Cruz, CA 95060-1717
Mailing Address16861 Placer Oaks RdLos Gatos, CA 95032-3445 · (650) 814-9819
Phone(650) 814-9819
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1215780598 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 145995
127 JEWELL ST, Santa Cruz, CA 95060
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215780598, enumerated as an "individual" on April 08, 2024.
The provider is located at 127 JEWELL ST SANTA CRUZ, CA 95060 and the phone number is (650) 814-9819.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
