| Counseling Center Of Gmhs | |
|
212 S Sullivan Ave Fremont MI 49412-1548 | |
| (231) 924-3300 | |
| (231) 924-1164 |
| Full Name | Counseling Center Of Gmhs |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 212 S Sullivan Ave, Fremont, Michigan |
| Authorized Official Name and Position | Randall J Stasik (CEO) |
| Authorized Official Contact | 2319241340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of Gmhs 212 S Sullivan Ave Fremont MI 49412-1548 Ph: (231) 924-3300 | Counseling Center Of Gmhs 212 S Sullivan Ave Fremont MI 49412-1548 Ph: (231) 924-3300 |
| NPI Number | 1730414848 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 01/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730414848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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