Individual
WINIFRED WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E BELTLINE AVE NE STE 320, GRAND RAPIDS, MI 49506-1267
(616) 805-3660
Mailing address
330 E BELTLINE AVE NE STE 320, GRAND RAPIDS, MI 49506-1267
(616) 805-3660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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