Organization
WIREMAN COUNSELING INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
914 AIRPORT RD, JACKSON, MI 49202-1850
(517) 499-2976
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010207
MI
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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