Individual
CANSAS ELEANOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LF 61245115
Contact information
Practice address
227 S CEDAR ST # 1861, BUCKLEY, WA 98321-2803
(253) 651-1361
Mailing address
PO BOX 1861, BUCKLEY, WA 98321-1861
(253) 651-1361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFTA.MG.61001288
WA
Other
Enumeration date
09/09/2019
Last updated
02/09/2024
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