Individual ProviderHaley Raelene Prizzi-WilsonCounselorBehavioral Health & Social Service ProvidersPractice Address1260 E Arrow Hwy, Upland, CA 91786-4982(909) 932-1069PECOS EnrollmentBased on the most recent information from CMS, provider Haley Raelene Prizzi-Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801359104Provider TypeIndividualFull NamePrizzi-Wilson, Haley RaeleneGenderFemaleSole ProprietorNoEnumeration Date4/12/2019Last Updated4/17/2019Contact InformationPractice LocationPractice Address1260 E Arrow Hwy, Upland, CA 91786-4982Phone(909) 932-1069FaxUnlisted FaxMailing LocationMailing Address8395 Magnolia Ave Apt 38, Riverside, CA 92504-3257PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer