| Richard A Wilson Ma | |
|
104 S Freya St Ste 215b Orange Flag Blgd Spokane WA 99202-6204 | |
| (509) 535-2048 | |
| (509) 535-2046 |
| Full Name | Richard A Wilson Ma |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 S Freya St Ste 215b, Spokane, Washington |
| Authorized Official Name and Position | Richard A Wilson (OWNER) |
| Authorized Official Contact | 5095352048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Wilson Ma 122 N Raymond Rd Ste 20 Spokane Valley WA 99206-6832 Ph: (509) 926-1770 | Richard A Wilson Ma 104 S Freya St Ste 215b Orange Flag Blgd Spokane WA 99202-6204 Ph: (509) 535-2048 |
| NPI Number | 1275656332 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275656332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00007082 (Washington) | Primary |
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