Provider Demographics
NPI:1265740427
Name:ASHER WILLS, VICKI (PSYD, LCSW)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:
Last Name:ASHER WILLS
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VIA CANCION
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6907
Mailing Address - Country:US
Mailing Address - Phone:949-648-1213
Mailing Address - Fax:949-498-8111
Practice Address - Street 1:128 AVENIDA DEL MAR
Practice Address - Street 2:2E
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4080
Practice Address - Country:US
Practice Address - Phone:949-648-1213
Practice Address - Fax:949-498-8111
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALC150301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical