Individual
SHERISE WOOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
13330 FORT ST, SOUTHGATE, MI 48195-1137
(734) 361-1416
Mailing address
310 N 1150 W, HURRICANE, UT 84737-2063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451019571
MI
101YM0800X
Mental Health Counselor
Primary
6451019571
MI
Other
Enumeration date
08/25/2021
Last updated
04/19/2026
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