DAVID WILSON LLPC NPI 1952973737

NPI Information

NPI: 1952973737
Provider Name: DAVID WILSON, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 200-4433
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David Wilson, LLPC is a professional counselor in Grand Rapids, MI. David Wilson, LLPC NPI is 1952973737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI
ZIP 49546-624
Phone: (616) 200-4433

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401019214	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W425135661744	OTHER	MICHIGAN	DRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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