Mary Hayden Wilson, BSW,

NPI #1538490776 in Las Vegas, Nevada

Provider Information

NPI Number: 1538490776
Entity Type: Individual
Name: Mary Hayden Wilson, BSW,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Credential: BSW,
Enumeration Date: Jan 28, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 5828 MARIA DEL MAR ST
City: Las Vegas
State: Nevada
ZIP Code: 89130-7299
Phone: (702) 578-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Rehabilitation Counselor	225C00000X	Primary

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