Provider Demographics
NPI:1598972481
Name:WILDER, FRANCES LANG (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:LANG
Last Name:WILDER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:FRANCES
Other - Middle Name:CAMPBELL
Other - Last Name:MCBRYDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:23309 CEDAR WAY
Mailing Address - Street 2:UNIT Q201
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043
Mailing Address - Country:US
Mailing Address - Phone:206-972-8906
Mailing Address - Fax:425-609-4769
Practice Address - Street 1:23309 CEDAR WAY
Practice Address - Street 2:UNIT Q201
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:206-875-2160
Practice Address - Fax:425-609-4769
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional