CONSTANCE MARIE WILSON CG
NPI 1366723884
Counselor - Mental Health in Everett, WA
Active since August 30, 2011
About Constance Marie Wilson Cg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSTANCE MARIE WILSON CG (NPI 1366723884) is an individual mental health provider in Everett, Washington, licensed in Washington (CG60147569) and active in the NPI registry since August 2011.
NPPES Registry Identity
NPI1366723884
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCONSTANCE MARIE WILSONCredential: CG
Location Address1021 N BROADWAYEverett, WA 98201-1405
Mailing AddressPo Box 2569Everett, WA 98213-0569 · (425) 374-5868 · Fax (425) 290-7485
Phone(425) 493-5800
Fax(425) 290-7485
Sole ProprietorNo
Enumeration DateAugust 30, 2011
✔ NPI 1366723884 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG60147569
1021 N BROADWAY, Everett, WA 98201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
EVERETT, WA 98201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366723884, enumerated as an "individual" on August 30, 2011.
The provider is located at 1021 N BROADWAY EVERETT, WA 98201 and the phone number is (425) 493-5800.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.