Organization
LORI WILDER LLC
Active
Other names
Wilder Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WILDER LPC (OWNER)
(616) 402-4262
Entity
Organization
Contact information
Practice address
41 WASHINGTON AVE STE 384, GRAND HAVEN, MI 49417-3311
(616) 402-4262
(616) 984-4603
Mailing address
41 WASHINGTON AVE STE 384, GRAND HAVEN, MI 49417-3311
(616) 402-4262
(616) 984-4603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014275
MI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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