Brian Wissink LPC

NPI 1073570818 - Counselor - 101YP2500X

NPI Details
NPI 1073570818
Gender Male
Enumeration Date 04/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
812 E JOLLY RD
STE 115
LANSING MI, 48910-6818, US
Phone (517) 346-8415
Fax (517) 346-8291
Business Location
812 E JOLLY RD
STE 210
LANSING MI, 48910-6818, US
Phone (517) 346-8410
Fax (517) 346-8291
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401001396
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According to our database, Brian Wissink LPC NPI is 1073570818, taxonomy code is 101YP2500X and license number is 6401001396, license state is located at Michigan. Brian Wissink LPC physically located at 812 E Jolly Rd, Lansing MI, 48910-6818. NPI Number Brian Wissink LPC has the Individual type.

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1073570818 NPI number is provided on an as is basis without warranty of any kind. 1073570818 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Wissink LPC are for informational purposes only.