Individual provider · Type 1 NPI

Renee Tanya Wilson, MA, LLPC

Mental Health Counselor · Detroit, MI

NPI number 1417308909 Active

Practice location

5535 Harvard Rd
Detroit, MI 48224-2163

Call (313) 434-0163 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401014386 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1417308909

Renee Tanya Wilson, MA, LLPC's National Provider Identifier is 1417308909, issued on Jun 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Jun 26, 2016.