Individual
LISA WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26850 PROVIDENCE PKWY, NOVI, MI 48374-1213
(248) 465-4335
(248) 465-4535
Mailing address
8629 KALAMAZOO RIVER DR, FOWLERVILLE, MI 48836-9059
(248) 465-4335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011483
MI
Other
Enumeration date
05/12/2010
Last updated
05/09/2018
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