Whalio Doctors

NPI 1215175542

Susan Clement Wilson, MSCMALGCLMHC

Practitioner Genetic Counselor (M.S.) Santa Fe, NM

Practice location

Address
5 Dulce Rd, Santa Fe, NM 87508-8284
Phone
(505) 577-8480
Fax
(505) 466-2183

Registered specialties (2)

Genetic Counselor (M.S.) Primary
Other Service Providers Taxonomy 170300000X Licence GC2009-012 (NM)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 0118861 (NM)

Registry record

NPI
1215175542
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jan 2009
Record last updated
7 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.