Individual
ALLISON RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3785 VETERANS DR, TRAVERSE CITY, MI 49684-4516
(231) 943-2084
Mailing address
10220 COSTER RD SW, FIFE LAKE, MI 49633-8218
(248) 882-1338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014782
MI
101YP2500X
Professional Counselor
6401017682
MI
Other
Enumeration date
11/10/2016
Last updated
01/27/2021
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