Individual provider · Type 1 NPI
Michael Wilson, MA COUNSELING
Mental Health Counselor · Tigard, OR
NPI number
1013384379
Active
Practice location
7110 SW Fir Loop Ste 220
Tigard, OR 97223
Fax (503) 213-5886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C5140 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1013384379
Michael Wilson, MA COUNSELING's National Provider Identifier is 1013384379, issued on Aug 21, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Feb 5, 2019.