Individual
KATELYN WYSOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3450 ALPINE AVE NW STE 207, GRAND RAPIDS, MI 49544-1666
(616) 215-0588
Mailing address
PO BOX 141541, GRAND RAPIDS, MI 49514-1541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017994
MI
Other
Enumeration date
10/19/2020
Last updated
04/30/2025
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