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Contact Information

SUSANNE R WILSON, MFT
3948 BEN WALTERS LN
HOMER, AK99603-7708
 Phone: 907-235-0318
 Fax: 907-235-0305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for SUSANNE R WILSON · (Female)

NPI Number 1992004717
Status Active
Credentials MFT (Marriage and Family Therapist)
Entity Individual
Enumeration date 03/18/2011
Last updated 03/18/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # MFC37587
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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