Wilson, Marta A. T.

Wilson, Marta A. T. is an individual health care provider with primary practice located at 6375 W Charleston Blvd Ste. A-172, Las Vegas NV 89146-1139. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Marta A. T. can be contacted via phone (702) 877-0684.

Contact Information

Primary practice address
6375 W Charleston Blvd Ste. A-172 Las Vegas NV 89146-1139
Phone: (702) 877-0684
Fax: (702) 877-0684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 01035 Nevada

Profile Details

NPI number 1740221993
LBN Legal business name Wilson, Marta A. T.
Credentials MFT, CPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740221993 NPPES
Nevada MEDICAID 100508688

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