| Community Counseling & Mentoring Services | |
|
312 Superior Mall Port Huron MI 48060-3833 | |
| (810) 987-2681 | |
| (810) 987-2784 |
| Full Name | Community Counseling & Mentoring Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 312 Superior Mall, Port Huron, Michigan |
| Authorized Official Name and Position | Karen Gavin (MANAGING DIRECTOR) |
| Authorized Official Contact | 8109872681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling & Mentoring Services 312 Superior Mall Port Huron MI 48060-3833 Ph: (810) 987-2681 | Community Counseling & Mentoring Services 312 Superior Mall Port Huron MI 48060-3833 Ph: (810) 987-2681 |
| NPI Number | 1932348620 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932348620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011235 (Michigan) | Primary |
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