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Search › California › 101YP2500X

Carleon Wilson

NPI 1578298279 · on the registry since 2022 · sole proprietor

Practice

Address
851 S Mount Vernon Ave Ste 7a
Colton, CA 92324
Phone
(760) 241-6044
Fax
(909) 639-7079
Organisation at this address
Covenant Counseling
Mac Hope Medical And Mental Health Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
101YP1600X
106H00000X
Sex
Male
Record last updated
2022-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California