Individual
CONSTANCE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG
Contact information
Practice address
1021 N BROADWAY, EVERETT, WA 98201-1405
(425) 493-5800
(425) 290-7485
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 374-5868
(425) 290-7485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60147569
WA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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