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Individual
MADELINE SARAH WILSON
Active
Individual
MADELINE SARAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, SUDP, ATR-P
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60890327
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61132947
WA
101YM0800X
Mental Health Counselor
Primary
LH61173476
WA
101YM0800X
Mental Health Counselor
MC61006347
WA
221700000X
Art Therapist
—
—
Other
Enumeration date
10/24/2019
Last updated
04/08/2022
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