NPI 1215175542
Susan Clement Wilson, MSCMALGCLMHC
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
Mental Health Counselor
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.