Individual
MS. SALLY W WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT,CAC
Contact information
Practice address
225 S CHURCH ST, WEST CHESTER, PA 19382-3386
(610) 436-0125
Mailing address
225 S CHURCH ST, WEST CHESTER, PA 19382-3386
(610) 436-0125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2828
PA
106H00000X
Marriage & Family Therapist
Primary
MF 000040
PA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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