Wesley Keith Washington, LPC
Counselor in Caledonia, MI. Individual provider (NPI-1).
NPI number1225550403
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1225550403
- Entity type
- Individual (NPI-1)
- Name
- Wesley Keith Washington
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2017
- Certification date
- Aug 7, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401018485 | MI | Yes |
| 101Y00000X | Counselor | 6401016188 | MI |
Practice location
7150 Kalamazoo Ave SeSuite C
Caledonia, MI 49316
Phone 616-219-0159
Mailing address
7150 Kalamazoo Ave SeSuite C
Caledonia, MI 49316-1201
Phone 616-219-0159
Other practice locations
901 Eastern Ave Ne
Grand Rapids, MI 49503-1201
Grand Rapids, MI 49503-1201
Phone 616-224-7617
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