Individual
DR. DEIRDRE LYNNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
425 72ND AVE NE, OLYMPIA, WA 98506-9704
(360) 584-8768
(360) 352-7319
Mailing address
425 72ND AVE NE, OLYMPIA, WA 98506-9704
(360) 584-8768
(360) 352-7319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 00006448
WA
106H00000X
Marriage & Family Therapist
LF 00001700
WA
Other
Enumeration date
11/24/2008
Last updated
07/24/2014
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