Elissa Wilson's National Provider Identifier (NPI) Details
Elissa Wilson, LMFT, LAADC
NPI: 1750552964
Enumeration Date: 2008-03-14
Last updated: 2022-11-22
Sole Proprietor: NO
Status: active
Postal Address: 14120 HAMLIN ST APT 12, VAN NUYS, CA
Phone: 818-984-2510
Primary Practice Address: 14120 HAMLIN ST APT 12, VAN NUYS, CA
Practice's phone: 818-984-2510