Doctor Name: | ROBIN WILSON |
NPI Number: | 1669718284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 118 E 8th St Port Angeles, WA - 983626129 |
Business Phone Number: | 3604570431 |
Business Fax Number: | 3605653912 |
Mailing Address: | 1731 W 6th St, PORT ANGELES |
State: | WA |
Postal Code: | 983631719 |
Phone Number: | 9704814614 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2012 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |