Individual
BRENDA MARIE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12009 133RD ST E, PUYALLUP, WA 98374-4698
(253) 845-3028
Mailing address
12009 133RD ST E, PUYALLUP, WA 98374-4698
(253) 845-3028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9513
TX
101YM0800X
Mental Health Counselor
Primary
30943
WA
103T00000X
Psychologist
30943
TX
Other
Enumeration date
03/01/2006
Last updated
09/11/2025
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