Wilson, Michelle
Wilson, Michelle is an individual health care provider with primary practice located at 1132 28Th Ave S Suite 102, Moorhead MN 56560-4420. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Michelle can be contacted via phone (218) 422-6119.Contact Information
Primary practice address
1132 28Th Ave S Suite 102
Moorhead MN 56560-4420
Phone: (218) 422-6119
Fax: (218) 227-5377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303851 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1520 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1497160998 |
|---|---|
| LBN Legal business name | Wilson, Michelle |
| Credentials | M.ED. LPCC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2014 |
| Last updated | Feb 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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