Individual
CHRISTINE ALLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.PSYCH.
Contact information
Practice address
417 N MAPLE ST, COLVILLE, WA 99114-3013
(509) 690-0715
Mailing address
417 N MAPLE ST, COLVILLE, WA 99114-3013
(509) 690-0715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907172
—
WA
Enumeration date
11/21/2006
Last updated
08/15/2011
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