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Timothy J Wilson JR.
Mental Health Counselor in Vancouver, Washington
NPI 1194370965

Timothy J Wilson JR. is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Timothy J Wilson JR. practices in Vancouver, WA. The NPI Number for Timothy J Wilson JR. is 1194370965 and holds a License No. (Washington).

The current practice location address for Timothy J Wilson JR. is 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA and can be reached out via phone at 360-831-0908.

Location: 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA, 98668-1845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194370965
Provider Name
Timothy J Wilson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA, 98668-1845
Phone Number
360-831-0908
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6221 Ne Fourth Plain Blvd Apt 130
City
Vancouver
State
Washington
Zip
98661-7210
Phone Number
360-831-0908
Fax Number
person
Provider Business Mailing Address Details
Address
6221 Ne Fourth Plain Blvd Apt 130
City
Vancouver
State
Washington
Zip
98661-7210
Phone Number
360-831-0908
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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