Laurrel Susan Wilson, CDP
Counselor, Professional in Kennewick, WA. Individual provider (NPI-1).
NPI number1992152995
StatusActive
Last updated in NPPESMay 19, 2016
Details
- NPI
- 1992152995
- Entity type
- Individual (NPI-1)
- Name
- Laurrel Susan Wilson
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2016
- Last updated
- May 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 60604431 | WA | Yes |
Other names
- Lauri Wilson (Other Name)
Practice location
5900 W 17th AveKennewick, WA 99338-1409
Phone 509-572-0633
Mailing address
5900 W 17th AveKennewick, WA 99338-1409
Phone 509-572-0633
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