Wilson Soliz-Quiroga
Counselor, Mental Health in Hesperia, MI. Individual provider (NPI-1).
NPI number1215503545
StatusActive
Last updated in NPPESMay 27, 2021
Details
- NPI
- 1215503545
- Entity type
- Individual (NPI-1)
- Name
- Wilson Soliz-Quiroga
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2021
- Certification date
- May 21, 2021
- Last updated
- May 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6801106548 | MI | Yes |
Practice location
96 S Division StHesperia, MI 49421-9004
Phone 616-286-1548
Mailing address
1115 Ball Ave NeGrand Rapids, MI 49505-5904
Phone 616-456-6571
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