Krystal R Wilson

NPI #1730797028 in Lake Tapps, Washington

Provider Information

NPI Number: 1730797028
Entity Type: Individual
Name: Krystal R Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 22, 2020
Last Updated: Oct 21, 2021

Practice Location

Address: 314 182ND AVE E UNIT C
City: Lake Tapps
State: Washington
ZIP Code: 98391-5704
Phone: (253) 501-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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