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NPI Code Detail

MEDICARE: MARGARET OWEN-WILSON

MEDICARE: MARGARET OWEN-WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program
3103TC2200XClinical Child & Adolescent Psychologist

General Provider Information

NPI Number : 1619006459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET OWEN-WILSON
Provider Business Mailing Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2730 SHADELANDS DR
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-496-9869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 05/13/2025

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