| Doctor Name: | LYNN A WILSON |
| NPI Number: | 1164630851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | LH00005995 |
| Business Practice Address: | 631 5th St Suite 202 Mukilteo, WA - 982751581 |
| Business Phone Number: | 4253551698 |
| Business Fax Number: | 4253551698 |
| Mailing Address: | 631 5th St, Suite 202 MUKILTEO |
| State: | WA |
| Postal Code: | 982751581 |
| Phone Number: | 4253551698 |
| Fax Number: | 4253551698 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00005995 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |