Most Relevant Information
Provider Data
| NPI Number: | 1003382540 |
| Provider Name: | STEPHANIE WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 140341 |
Most Important Dates
| Enumeration Date: | 10/23/2018 |
| Last Updated: | 07/24/2023 |
Provider Practice Location
2130 STOCKTON BLVD BLDG 300
SACRAMENTO
CA
958171337
Practice Location Phone/Fax
| Phone: | 9165202460 |
| Fax: |
Provider Mailing Location
10850 GOLD CENTER DR STE 325
RANCHO CORDOVA
CA
956706177
Provider Mailing Phone/Fax
| Phone: | 9163648395 |
| Fax: |