SHANA WIRTH

CLARKSTON, MI
NPI1780059360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6401006274)
Enumeration Date2015-12-08
Last Update Date2015-12-08
Business Address
-- SHANA WIRTH MA, LPC
3694 CLARKSTON RD SUITE D
CLARKSTON, MI 48348-5213
Phone number: 248-693-8880
Mailing Address
-- SHANA WIRTH MA, LPC
8907 STONEWALL DR
CLARKSTON, MI 48348-4201
Phone number: 248-884-4886