Wilson, Brenda Marie

Wilson, Brenda Marie is an individual health care provider with primary practice located at 12009 133Rd St E , Puyallup WA 98374-4698. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Brenda Marie can be contacted via phone (253) 845-3028.

Contact Information

Primary practice address
12009 133Rd St E Puyallup WA 98374-4698
Phone: (253) 845-3028
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9513 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 30943 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X 30943 Texas

Profile Details

NPI number 1386611168
LBN Legal business name Wilson, Brenda Marie
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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