Organization
FOWLERVILLE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE DEE WILCOX LLP (OWNER)
(517) 575-8842
Entity
Organization
Contact information
Practice address
202 E VAN RIPER RD, SUITE 100, FOWLERVILLE, MI 48836-7947
(517) 575-8842
Mailing address
202 E VAN RIPER RD, SUITE 100, FOWLERVILLE, MI 48836-7947
(517) 575-8842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609828649
INDIVIDUAL NPI
MI
Enumeration date
06/16/2015
Last updated
06/16/2015
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