| NPI | 1427500594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENAE AVERY-WILLIAMS Therapist 269-240-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301007536) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014792) |
| 103TF0000X Psychologist, Family (Licence: MI 6301007536) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2017-03-21 |