MR. BRADLEY THOMAS WILSON LMFT NPI 1871244244

NPI Information

NPI: 1871244244
Provider Name: MR. BRADLEY THOMAS WILSON, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
18430 BROOKHURST ST STE 202A
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 253-4537
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MR. Bradley Thomas Wilson, LMFT is a mental health counselor in Fountain Valley, CA. MR. Bradley Thomas Wilson, LMFT NPI is 1871244244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18430 BROOKHURST ST STE 202A
FOUNTAIN VALLEY, CA
ZIP 92708-758
Phone: (714) 253-4537

The enumeration date for this NPI number is 1/17/2022 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	130605	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	130605	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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