| Teresa Love Wilson, LPCC | |
|
631 S Orchard Ave, Ukiah, CA 95482-5011 | |
| (707) 472-2922 | |
| (707) 467-4999 |
| Full Name | Teresa Love Wilson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 631 S Orchard Ave, Ukiah, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992132757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PCI304 (California) | Primary |
| Entity Name | Redwood Community Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831237015 PECOS PAC ID: 7618263187 Enrollment ID: O20160908002886 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Love Wilson, LPCC P.o. Box 422, Ukiah, CA 95482 Ph: (707) 467-2000 | Teresa Love Wilson, LPCC 631 S Orchard Ave, Ukiah, CA 95482-5011 Ph: (707) 472-2922 |
Sage Mountainfire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 E Gobbi St, Ukiah, CA 95482 Phone: 707-463-3300 |
Robert Thayne Hake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 S Dora St, Ukiah, CA 95482 Phone: 707-472-2627 |
Karen Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Talmage Rd, Ukiah, CA 95482 Phone: 707-462-4033 |
Megan Elliott Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 776 S State St, Ukiah, CA 95482 Phone: 707-463-4915 |
Ms. Shelly Kay Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 E Gobbi St, Ukiah, CA 95482 Phone: 707-472-2922 |
Mr. Keenan P Tyner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 Old River Rd, Ukiah, CA 95482 Phone: 707-467-5181 |
Bonnie Lockhart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 N State St, Ukiah, CA 95482 Phone: 707-462-7267 |