Individual
MOLLY ROSE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LLPC
Contact information
Practice address
7195 THORNAPPLE RIVER DR SE, ADA, MI 49301-8411
(616) 929-0248
Mailing address
7195 THORNAPPLE RIVER DR SE, ADA, MI 49301-8411
(616) 929-0248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PPC-822
WY
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
07/22/2020
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