Individual
CHERYL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6192
(360) 567-2211
(360) 567-2212
Mailing address
9608 NE 132ND AVE, VANCOUVER, WA 98682-2912
(360) 904-8540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60764006
WA
Other
Enumeration date
03/20/2014
Last updated
12/04/2023
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