Individual
CASEY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LMHCA
Contact information
Practice address
204 CUSTER WAY SW, TUMWATER, WA 98501
(206) 920-4670
Mailing address
7840 HARGIS ST. NW, OLYMPIA, WA 98502
(206) 920-4670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61432968
WA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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