Individual
MS. DENISE WUNDERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2150 W. SOUTH AIRPORT RD, SUITE C, TRAVERSE CITY, MI 49684-1387
(248) 217-2353
Mailing address
PO BOX 475, EMPIRE, MI 49630-0475
(248) 217-2353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401000759
MI
101YP2500X
Professional Counselor
6401000759
MI
1041C0700X
Clinical Social Worker
6801058736
MI
Other
Enumeration date
05/11/2007
Last updated
09/29/2022
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