Organization
ROOTS COUNSELING & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RENEE WILSON MS, LPC (OWNER/MENTAL HEALTH THERAPIST)
(231) 577-6676
Entity
Organization
Contact information
Practice address
856 E 8TH ST STE 1, TRAVERSE CITY, MI 49686-2784
(248) 882-1338
Mailing address
10220 COSTER RD SW, FIFE LAKE, MI 49633-8218
(248) 882-1338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/17/2021
Last updated
10/07/2021
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