Organization
WILSON COUNSELING AND EDUCATIONAL CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE RENEE WILSON LPC (PRESIDENT)
(313) 409-3038
Entity
Organization
Contact information
Practice address
13860 KENWOOD ST APT 205, OAK PARK, MI 48237-2065
(313) 409-3038
Mailing address
13860 KENWOOD ST APT 205, OAK PARK, MI 48237-2065
(313) 409-3038
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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