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Martena Wilson

Marriage & Family Therapist in Santa Maria, CA. Individual provider (NPI-1).

NPI number1164073680
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1164073680
Entity type
Individual (NPI-1)
Name
Martena Wilson
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2019
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist133052CAYes
171M00000X Case Manager/Care Coordinator–CA

Practice location

526 E Chapel St
Santa Maria, CA 93454-4520

Phone 895-925-8860

Mailing address

127 N J St
Lompoc, CA 93436-6742

Phone 760-459-9790

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