NPI 1679004451

Cassandra Mary Wilson, MAMHPEMMHS

Practitioner Psychoanalyst Redmond, WA

Practice location

Address: 16150 NE 85th St STE 220, Redmond, WA 98052-3546
Phone: (425) 558-0558
Mailing address: 3800 204th St SW APT A102, Lynnwood, WA 98036-9311

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence MC 60696501 (WA)

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Registry record

NPI: 1679004451
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2017
Record last updated: 23 Mar 2017

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.