person
Mr. Levi David Wilson, MA
Mental Health Counselor in Walla Walla, Washington
NPI 1750612982

Levi David Wilson is a Mental Health Counselor based in Walla Walla, WA and is specialized in Mental Health. Levi David Wilson practices in Walla Walla, WA and has the professional credentials of MA. The NPI Number for Levi David Wilson is 1750612982 and holds a License No. (Washington).

The current practice location address for Levi David Wilson is 1120 W Rose St, Walla Walla, WA and can be reached out via phone at 509-525-6650 and via fax at 509-522-2349.

Location: 1120 W Rose St, Walla Walla, WA, 99362-1662
person
Provider Profile Details
NPI Number
1750612982
Provider Name
Levi David Wilson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1120 W Rose St, Walla Walla, WA, 99362-1662
Phone Number
509-525-6650
Fax Number
509-522-2349
Provider Enumeration Date
01/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750612982 05 WA
institution
Provider Business Practice Location Address Details
Address
1120 W Rose St
City
State
Zip
99362-1662
Phone Number
509-525-6650
Fax Number
509-522-2349
person
Provider Business Mailing Address Details
Address
1120 W Rose St
City
State
Zip
99362-1662
Phone Number
509-525-6650
Fax Number
509-522-2349
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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