Individual
DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
888 S HILLHURST RD, RIDGEFIELD, WA 98642-9063
(360) 887-6060
(360) 727-3638
Mailing address
2924 FALK RD, VANCOUVER, WA 98661-5604
(360) 750-9588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60509166
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60772363
WA
Other
Enumeration date
10/14/2016
Last updated
01/30/2019
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