CASSANDRA SUSANN WILSON CDPT NPI 1174955629

NPI Information

  • NPI: 1174955629
  • Provider Name: CASSANDRA SUSANN WILSON, CDPT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 10828 GRAVELLY LAKE DR. SW
    SUITE 204
    LAKEWOOD, WA
    ZIP 98499
  • Phone: (253) 473-7474

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NPI Details

Cassandra Susann Wilson, CDPT is an addiction (substance use disorder) counselor in Lakewood, WA. Cassandra Susann Wilson, CDPT NPI is 1174955629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10828 GRAVELLY LAKE DR. SW
SUITE 204
LAKEWOOD, WA
ZIP 98499
Phone: (253) 473-7474
Fax: (253) 474-9724

The enumeration date for this NPI number is 8/7/2013 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CO60316800WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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