Organization
IDENTITY COUNSELING PSYCHOLOGY WEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WILKINS LPC (OWNER)
(734) 545-0332
Entity
Organization
Contact information
Practice address
635 S MAPLE RD STE 2, ANN ARBOR, MI 48103-3838
(734) 645-8944
Mailing address
635 S MAPLE RD STE 2, ANN ARBOR, MI 48103-3838
(734) 645-8944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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