Northern Shores Counseling
Counselor, Professional in Marquette, MI. Organization (NPI-2).
NPI number1750822656
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1750822656
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Shores Counseling
- Organization subpart
- No
- Enumeration date
- Mar 13, 2017
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401009715 | MI | Yes |
Practice location
413 W Hampton StMarquette, MI 49855-5134
Phone 906-235-8200
Mailing address
413 W Hampton StMarquette, MI 49855-5134
Phone 906-235-8200
Authorized official
Alicia Davis-Potter
Therapist/ President
9062358200
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