Individual
MS. TRACY LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, LPC, NCC
Contact information
Practice address
181 W MICHIGAN AVE, SUITE 3, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198
Mailing address
181 W MICHIGAN AVE, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401006865
MI
103T00000X
Psychologist
6301010633
MI
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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