Individual
CORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
600 N 130TH ST, SEATTLE, WA 98133-7946
(206) 223-1300
(206) 223-1279
Mailing address
600 N 130TH ST, SEATTLE, WA 98133-7946
(206) 223-1300
(206) 223-1279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60682772
WA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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