| Mjw Counseling Services | |
|
564 Marcia St Sw Wyoming MI 49509-4013 | |
| (616) 953-0780 | |
| Not Available |
| Full Name | Mjw Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 564 Marcia St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Michael Wiersma (OWNER) |
| Authorized Official Contact | 6169530780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjw Counseling Services 564 Marcia St Sw Wyoming MI 49509-4013 Ph: (616) 953-0780 | Mjw Counseling Services 564 Marcia St Sw Wyoming MI 49509-4013 Ph: (616) 953-0780 |
| NPI Number | 1720688617 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720688617 | NPI | - | NPPES |
| 14247885 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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