Individual
JODI RENE WILSON-GUZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1100 TORREY RD STE 100, FENTON, MI 48430-3327
(810) 944-7180
(810) 215-1334
Mailing address
6445 AMBER LN, GRAND BLANC, MI 48439-7835
(734) 751-8932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008556
MI
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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