Living Waters Counseling | |
5955 W Main St Kalamazoo MI 49009-8700 | |
(269) 348-0956 | |
(269) 353-3132 |
Full Name | Living Waters Counseling |
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Speciality | Social Worker |
Location | 5955 W Main St, Kalamazoo, Michigan |
Authorized Official Name and Position | Victor Manzon (OWNER) |
Authorized Official Contact | 2693480956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Waters Counseling Po Box 2588 Portage MI 49081-2588 Ph: (269) 492-3801 | Living Waters Counseling 5955 W Main St Kalamazoo MI 49009-8700 Ph: (269) 348-0956 |
NPI Number | 1285901058 |
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Provider Enumeration Date | 11/22/2011 |
Last Update Date | 03/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285901058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 6301009199 (Michigan) | Secondary |
104100000X | Social Worker | 6801059772 (Michigan) | Primary |
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