| Hope Reborn Counseling, Pllc | |
|
2816 Willa Dr Saint Joseph MI 49085 | |
| (269) 359-1065 | |
| (269) 985-0247 |
| Full Name | Hope Reborn Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2816 Willa Dr, Saint Joseph, Michigan |
| Authorized Official Name and Position | Nadine Renee Fish (OWNER) |
| Authorized Official Contact | 2693591065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Reborn Counseling, Pllc 2816 Willa Dr Saint Joseph MI 49085-2555 Ph: (269) 359-1065 | Hope Reborn Counseling, Pllc 2816 Willa Dr Saint Joseph MI 49085 Ph: (269) 359-1065 |
| NPI Number | 1356858997 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356858997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801090473 (Michigan) | Primary |
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