| 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 |