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306 E Broadway St Ste 4a Mount Pleasant MI 48858-2659 | |
| (989) 572-0004 | |
| (989) 702-2266 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 306 E Broadway St Ste 4a, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Jenelle K Leib (LPC) |
| Authorized Official Contact | 9895720004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
306 E Broadway St Ste 4a Mount Pleasant MI 48858-2659 Ph: (989) 572-0004 | 306 E Broadway St Ste 4a Mount Pleasant MI 48858-2659 Ph: (989) 572-0004 |
| NPI Number | 1083388128 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083388128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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