Individual provider · Type 1 NPI

Cassandra Susann Wilson, CDPT

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1174955629 Active

Practice location

10828 Gravelly Lake Dr. SW, Suite 204
Lakewood, WA 98499

Call (253) 473-7474 Map

Fax (253) 474-9724

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60316800 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174955629

Cassandra Susann Wilson, CDPT's National Provider Identifier is 1174955629, issued on Aug 7, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, WA. The record was last updated on Aug 7, 2013.