Individual
STEPHANIE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 S CEDAR ST, LANSING, MI 48910-5474
(517) 394-7867
Mailing address
1013 N RIVER RD, SAGINAW, MI 48609-6833
(989) 596-3558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08231982
COUNSELOR
—
Enumeration date
10/02/2019
Last updated
11/30/2020
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