Individual
WESLEY KEITH WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7150 KALAMAZOO AVE SE, SUITE C, CALEDONIA, MI 49316
(616) 219-0159
Mailing address
7150 KALAMAZOO AVE SE, SUITE C, CALEDONIA, MI 49316-1201
(616) 219-0159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016188
MI
101Y00000X
Counselor
Primary
6401018485
MI
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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