Individual
BETHANY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
1960 N HOLY NAMES CT, SPOKANE, WA 99224-5803
(509) 960-8632
Mailing address
1960 N HOLY NAMES CT, SPOKANE, WA 99224-5803
(509) 960-8632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61082852
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
09/08/2020
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