Individual
KATRINA K. D. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP, LLPC
Contact information
Practice address
4625 BECKLEY RD, BUILDING 300, BATTLE CREEK, MI 49015-7948
(269) 979-8119
(269) 979-8124
Mailing address
4625 BECKLEY RD, BUILDING 300, BATTLE CREEK, MI 49015-7948
(269) 979-8119
(269) 979-8124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401013299
MI
103TC1900X
Counseling Psychologist
Primary
6301015310
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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