Individual
KAITLYN SUE WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
Mailing address
4914 CHURCHILL RD, LESLIE, MI 49251-9794
(517) 392-8110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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