| NPI | 1487279410 |
|---|---|
| Former Legal Business Name | WENDY DITTRICH CROLL, MA, LPC, LLC |
| Entity Type | Organization |
| Authorized Contact | WENDY DITTRICH CROLL Licensed Professional Counselor 810-360-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-10-26 |