| NPI | 1629472626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN GORDON Professional Counselor 906-239-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013069) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |