NPI | 1649765298 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEA ANNE HOWELL Owner, Provider 269-254-6613 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YP2500X Counselor Professional |
101YM0800X Counselor Mental Health | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2024-08-21 |