| NPI | 1922671999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE A HEIBEL Licensed Professional Counselor 517-315-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |