Doctor Name: | TRICIA ANNE WILTSE |
NPI Number: | 1083943187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC |
License Number: | RC00039939 |
Business Practice Address: | 711 State Ave Ne Olympia, WA - 98506 |
Business Phone Number: | 3609430780 |
Business Fax Number: | 3609430785 |
Mailing Address: | 711 State Ave Ne, OLYMPIA |
State: | WA |
Postal Code: | 98506 |
Phone Number: | 3609430780 |
Fax Number: | 3609430785 |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00039939 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |