Individual provider · Type 1 NPI

Kaitlyn Sue Wixson

Professional Counselor · Jackson, MI

NPI number 1629621925 Active

Practice location

330 W Michigan Ave
Jackson, MI 49201-2121

Mailing address

4914 Churchill Rd
Leslie, MI 49251-9794

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1629621925

Kaitlyn Sue Wixson's National Provider Identifier is 1629621925, issued on Jul 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MI. The record was last updated on Jul 17, 2019.