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Organization
TAMMY SUE WILSON
Active
Organization
TAMMY SUE WILSON
Active
Other names
Resilience Counseling & Play Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SUE WILSON LPC, NCC, RPT, ICST (OWNER/MANAGER)
(810) 637-1183
Entity
Organization
Contact information
Practice address
3115 LAPEER RD STE A, PORT HURON, MI 48060-7309
(810) 637-1183
(810) 637-1183
Mailing address
3115 LAPEER RD STE A, PORT HURON, MI 48060-7309
(810) 637-1183
(810) 637-1183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/29/2022
Last updated
10/21/2024
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