Organization
WILDER COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMEY ALAN WILDER MA (OWNER)
(616) 844-3387
Entity
Organization
Contact information
Practice address
1205 GLASTONBURY DR, SAINT JOHNS, MI 48879-3401
(616) 844-3387
Mailing address
1205 GLASTONBURY DR, SAINT JOHNS, MI 48879-3401
(616) 844-3387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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