Provider Demographics
NPI:1316644529
Name:WILT, VERONICA KATHRYN (LMFT #156400)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:KATHRYN
Last Name:WILT
Suffix:
Gender:F
Credentials:LMFT #156400
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 LENTIL WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7992
Mailing Address - Country:US
Mailing Address - Phone:805-710-8857
Mailing Address - Fax:
Practice Address - Street 1:1135 LENTIL WAY
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7992
Practice Address - Country:US
Practice Address - Phone:706-627-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist