MR. Douglas Alan Wilson, MA, LPC
NPI #1174833750 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1174833750
- Entity Type
- Individual
- Name
- MR. Douglas Alan Wilson, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC
- Enumeration Date
- Oct 15, 2010
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 17224 VAN WAGONER RD
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-9702
- Phone
- (231) 799-8182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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