Wilson Clinical Services, Pllc.

NPI 1063643567 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1063643567
Enumeration Date 07/31/2009
Last Updated 05/10/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAIME A B JAIME
Position CLINICAL PSYCHOLOGIST/DIRECTOR
Phone (360) 339-4659
Fax
Practice Location
2120 STATE AVE NE
SUITE 219D
OLYMPIA WA, 98506-6514, US
Phone (360) 339-4659
Fax
Business Location
2120 STATE AVE NE
SUITE 219D
OLYMPIA WA, 98506-6514, US
Phone (360) 339-4659
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Washington
License Number 602937457
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According to our database, Wilson Clinical Services, Pllc. NPI is 1063643567, taxonomy code is 251S00000X and license number is 602937457, license state is located at Washington. Wilson Clinical Services, Pllc. physically located at 2120 State Ave Ne, Olympia WA, 98506-6514. NPI Number 1033115704 has the healthcare provider type.

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1063643567 NPI number is provided on an as is basis without warranty of any kind. 1063643567 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Clinical Services, Pllc. are for informational purposes only.