Wilson Soliz-Quiroga

Individual provider Active NPI Mental Health Counselor · Hesperia, MI

NPI 1215503545 · NPPES record last updated May 27, 2021

Key facts

NPI
1215503545
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6801106548 (MI)
Practice address
96 S Division St
Hesperia, MI 49421-9004
Phone
(616) 286-1548
NPI assigned
May 27, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801106548MIMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801106548 MI Yes

Addresses

Primary practice location

96 S Division St
Hesperia, MI 49421-9004

Mailing address

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 456-6571

Electronic endpoints

TypeEndpointUseAffiliation
Other URL N/A Other

Other providers in Hesperia, MI

All providers in Hesperia, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.