Individual provider · Type 1 NPI

Benjamin Russell Wilson, LLPC

Professional Counselor · Bellevue, MI

NPI number 1093257461 Active

Practice location

6461 Dawn Dr
Bellevue, MI 49021-8411

Mailing address

6461 Dawn Dr.
Bellevue, MI 49021

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401015351 (MI)

Professional Counselor: Definition to come...

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About NPI 1093257461

Benjamin Russell Wilson, LLPC's National Provider Identifier is 1093257461, issued on Nov 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bellevue, MI. The record was last updated on Nov 16, 2016.