| NPI | 1457060162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNEA RUTH HALFVARSON Licensed Professional Counselor 269-598-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-05-08 |