Individual provider · Type 1 NPI

Vanessa Lashalle Wilder, LPC

Counselor · Redford, MI

NPI number 1912305558 Active

Practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Call (313) 450-4500 Map

Fax (313) 450-4512

Mailing address

2677 Martin Luther King Jr Blvd
Detroit, MI 48208-2562

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401011048 (MI)
Counselor Primary 101Y00000X640101048 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912305558

Vanessa Lashalle Wilder, LPC's National Provider Identifier is 1912305558, issued on Dec 14, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Redford, MI. The record was last updated on Mar 3, 2022.