NPI | 1770367237 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS MARK LANGE Licensed Professional Counselor 231-286-2355 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |