Individual provider · Type 1 NPI

Karen Rose Wild, OTR/L

Mental Health Counselor · Tacoma, WA

NPI number 1174703987 Active

Practice location

514 S 13th St
Tacoma, WA 98402-1908

Mailing address

6839 S Junett St
Tacoma, WA 98409-6050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XOT00000320 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1174703987

Karen Rose Wild, OTR/L's National Provider Identifier is 1174703987, issued on Nov 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Nov 8, 2007.