Wilson, Levi David

Wilson, Levi David is an individual health care provider with primary practice located at 1120 W Rose St , Walla Walla WA 99362-1662. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Levi David can be contacted via phone (509) 525-6650.

Contact Information

Primary practice address
1120 W Rose St Walla Walla WA 99362-1662
Phone: (509) 525-6650
Fax: (509) 522-2349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington

Profile Details

NPI number 1750612982
LBN Legal business name Wilson, Levi David
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2010
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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Identifiers

StateTypeNumberIssuer
All States NPI 1750612982 NPPES
Washington MEDICAID 1750612982

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