Individual provider · Type 1 NPI

Michael Wilkes

Professional Counselor · Grand Rapids, MI

NPI number 1750740312 Active

Practice location

3330 Claystone St SE
Grand Rapids, MI 49546-7738

Call (616) 949-7460 Map

Mailing address

812 Pinnacle Run Dr SE
Grand Rapids, MI 49546-8342

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401015302 (MI)
Marriage & Family Therapist 106H00000X4101006677 (MI)

Professional Counselor: Definition to come...

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About NPI 1750740312

Michael Wilkes's National Provider Identifier is 1750740312, issued on Feb 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 11, 2016.