Individual provider · Type 1 NPI

Timothy J. Wilson Jr.

Mental Health Counselor · Vancouver, WA

NPI number 1194370965 Active

Practice location

6221 NE Fourth Plain Blvd Apt 130
Vancouver, WA 98661-7210

Call (360) 831-0908 Map

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194370965

Timothy J. Wilson Jr.'s National Provider Identifier is 1194370965, issued on Aug 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Aug 7, 2019.