Ms Terra Renne Wilson, SAC II - Counselor in Lower Lake, CA

Ms Terra Renne Wilson, SAC II is a Counselor - Addiction (substance Use Disorder) based in Lower Lake, California. Ms Terra Renne Wilson is licensed to practice in California (license number RI-G0505091545) and her current practice location is 9345 Winchester, Lower Lake, California. She can be reached at her office (for appointments etc.) via phone at (707) 995-3235.

NPI number for Ms Terra Renne Wilson is 1821134271 and her current mailing address is 9345 Winchester, Lower Lake, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821134271.

Contact Information

Ms Terra Renne Wilson, SAC II
9345 Winchester,
Lower Lake, CA 95457
(707) 995-3235
(707) 995-7004

Map and Direction


Healthcare Provider's Profile

Full NameMs Terra Renne Wilson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location9345 Winchester, Lower Lake, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821134271
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 08/21/2009

Medical Identifiers

Medical identifiers for Ms Terra Renne Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821134271NPI-NPPES
RI-G0505091545OtherCASUBSTANCE ABUSE DISORDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) RI-G0505091545 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Terra Renne Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Terra Renne Wilson, SAC II
9345 Winchester,
Lower Lake, CA 95457-5720

Ph: (707) 995-3235
Ms Terra Renne Wilson, SAC II
9345 Winchester,
Lower Lake, CA 95457

Ph: (707) 995-3235

Reviews and Comments


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