Doctor Name: | ROBERTA M WOLSCHON |
NPI Number: | 1013210087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC NCC |
License Number: | 6401011066 |
Business Practice Address: | 9844 Dixie Hwy Ira, MI - 480232813 |
Business Phone Number: | 5867167600 |
Business Fax Number: | 5867167659 |
Mailing Address: | 9844 Dixie Hwy, FAIR HAVEN |
State: | MI |
Postal Code: | 48023 |
Phone Number: | 5867167600 |
Fax Number: | 5867167659 |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 12/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401011066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |