| NPI | 1699253377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEAN KRUEGER Mental Health Therapist/Owner 517-420-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011950) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |