Individual
MR. WESLEY ROWLAND WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LAC, AAMFT SUP
Contact information
Practice address
2515 KINDERHOOK LN, COLORADO SPRINGS, CO 80919-3870
(719) 331-3338
(719) 599-9001
Mailing address
2515 KINDERHOOK LN, COLORADO SPRINGS, CO 80919-3870
(719) 331-3338
(719) 599-9001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD -272
CO
106H00000X
Marriage & Family Therapist
Primary
922
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD -272
DORA, DEPT. OF REGULATED AGENDIES
CO
01
—
MFT-922
DORA, DEPT. OF REGULATED AGENDIES
CO
Enumeration date
09/26/2008
Last updated
11/20/2022
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