Individual provider · Type 1 NPI

Ian Thomas Wilson, BA, AAC, CDPT

Mental Health Counselor · Seattle, WA

NPI number 1730484858 Active

Practice location

1600 E Olive St, Sound Mental Health
Seattle, WA 98122-2735

Fax (206) 302-2210

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG60199789 (WA)
Student in an Organized Health Care Education/Training Program 390200000XCO60341690 (WA)
Mental Health Counselor Primary 101YM0800XCG60199789 (WA)

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About NPI 1730484858

Ian Thomas Wilson, BA, AAC, CDPT's National Provider Identifier is 1730484858, issued on Jan 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Apr 25, 2013.