Wilson, Mayra

Wilson, Mayra is an sole proprietor health care provider with primary practice located at 23115 Rider St , Perris CA 92570-9723. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wilson, Mayra can be contacted via phone (951) 686-8500.

Contact Information

Primary practice address
23115 Rider St Perris CA 92570-9723
Phone: (951) 686-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT108550 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1659723971
LBN Legal business name Wilson, Mayra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2016
Last updated Jun 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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