Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassandra Susann Wilson, CDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174955629

Cassandra Susann Wilson, CDPT is an Addiction (Substance Use Disorder) Counselor in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499
Phone: (253) 473-7474
Fax: (253) 474-9724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO60316800 (WA)

Record details

NPI number1174955629
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT
Sole proprietorYes
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013

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