Shane Wilson is a mental health counselor in Anchorage, AK. Shane Wilson NPI is 1528662152. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2330 NICHOLS ST
ANCHORAGE, AK
ZIP 99508-458
Phone: (907) 279-6617
The enumeration date for this NPI number is 11/24/2020 and was last updated on 11/24/2020.