MICHAEL LAWRENCE WILSON

PORTLAND, OR
NPI1639560576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  L6028)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OR  L6028)
101YM0800X Counselor, Mental Health
(Licence: OR  L6028)
Enumeration Date2015-02-13
Last Update Date2015-02-18
Business Address
-- MICHAEL LAWRENCE WILSON M.A.
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
Mailing Address
-- MICHAEL LAWRENCE WILSON M.A.
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681