Michael Wilson Jr.
Counselor, Mental Health in Corona, CA. Individual provider (NPI-1).
NPI number1669976866
StatusActive
Last updated in NPPESMar 21, 2018
Details
- NPI
- 1669976866
- Entity type
- Individual (NPI-1)
- Name
- Michael Wilson Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2018
- Last updated
- Mar 21, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2275 S Main St Ste 201Corona, CA 92882-5303
Phone 951-279-3222 · Fax 951-279-5222
Mailing address
2275 S Main St Ste 201Corona, CA 92882-5303
Phone 951-279-3222 · Fax 951-279-5222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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