Individual provider · Type 1 NPI

Krystal R. Wilson

Mental Health Counselor · Lake Tapps, WA

NPI number 1730797028 Active

Practice location

314 182nd Ave E Unit C
Lake Tapps, WA 98391-5704

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1730797028

Krystal R. Wilson's National Provider Identifier is 1730797028, issued on Jul 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Tapps, WA. The record was last updated on Oct 21, 2021.