Individual
LILLIAN WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15298 LOST CHANNEL TRL, GRAND HAVEN, MI 49417-9516
(616) 638-6025
Mailing address
15298 LOST CHANNEL TRL, GRAND HAVEN, MI 49417-9516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PLC8977
LA
Other
Enumeration date
08/26/2024
Last updated
05/04/2026
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