Individual provider · Type 1 NPI

Michael Lawrence Wilson, AA

Mental Health Counselor · Tacoma, WA

NPI number 1902089972 Active

Practice location

3834 S 19th St
Tacoma, WA 98405-2016

Mailing address

5623 N 49th St
Ruston, WA 98407-3014

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902089972

Michael Lawrence Wilson, AA's National Provider Identifier is 1902089972, issued on Dec 12, 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 Dec 12, 2007.