Individual
ANDREA LYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CACII
Contact information
Practice address
2800 RIVERSIDE PKWY, BLDG 2, GRAND JUNCTION, CO 81501-4721
(970) 245-4213
(970) 243-7297
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6181
CO
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
09/30/2010
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