Individual
CASSANDRA MARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MHP, EMMHS
Contact information
Practice address
16150 NE 85TH ST STE 220, REDMOND, WA 98052-3546
(425) 558-0558
Mailing address
3800 204TH ST SW APT A102, LYNNWOOD, WA 98036-9311
(206) 859-0813
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MC 60696501
WA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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