What is Denise Wilson's NPI number?

The NPI number assigned to this healthcare provider is 1811149503, enumerated as a individual on October 14, 2008.

Where is the provider located?

The provider is located at 717 LINCOLN BLVD VENICE, CA 90291 and the phone number is (310) 399-9883.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

DENISE WILSON - NPI 1811149503 - Counselor in Venice, CA

On this page

About Denise Wilson NPPES

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

DENISE WILSON (NPI 1811149503) is an individual counselor in Venice, California and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1811149503

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDENISE WILSON

Location Address717 LINCOLN BLVDVenice, CA 90291-2845

Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (661) 254-6630

Phone(310) 399-9883

Sole ProprietorYes

Enumeration DateOctober 14, 2008

✔ NPI 1811149503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

717 LINCOLN BLVD, Venice, CA 90291

Open in Google Maps ↗