Provider Demographics
NPI:1730575812
Name:WILCSEK, VIRGINIA (LMFT)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:WILCSEK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1902 WRIGHT PL STE 200
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-6583
Mailing Address - Country:US
Mailing Address - Phone:619-333-8571
Mailing Address - Fax:760-918-5505
Practice Address - Street 1:1902 WRIGHT PL STE 200
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-6583
Practice Address - Country:US
Practice Address - Phone:619-333-8571
Practice Address - Fax:619-391-0017
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA105319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1225725971OtherGROUP NPI
CA1730575812OtherNPI
CA14988837OtherCAQH