Individual
JAMIE RYKER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
113 23RD AVE S, SEATTLE, WA 98144-2309
(206) 219-5980
(253) 280-9870
Mailing address
113 23RD AVE S, SEATTLE, WA 98144-2309
(206) 219-5980
(253) 280-9870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61688985
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
09/29/2025
Last updated
01/14/2026
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