Phoenix Rising Professional Counseling, Pc | |
302 West Michigan Avenue Paw Paw MI 49079-0026 | |
(269) 998-9696 | |
(269) 415-0284 |
Full Name | Phoenix Rising Professional Counseling, Pc |
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Speciality | Counselor - Professional |
Location | 302 West Michigan Avenue, Paw Paw, Michigan |
Authorized Official Name and Position | Todd Christopher Day (DIRECTOR) |
Authorized Official Contact | 2699989696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoenix Rising Professional Counseling, Pc Po Box 26 Paw Paw MI 49079-0026 Ph: (269) 998-9696 | Phoenix Rising Professional Counseling, Pc 302 West Michigan Avenue Paw Paw MI 49079-0026 Ph: (269) 998-9696 |
NPI Number | 1447577101 |
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Provider Enumeration Date | 04/21/2010 |
Last Update Date | 04/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447577101 | NPI | - | NPPES |
1700049061 | Other | MI | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401010792 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401010792 (Michigan) | Primary |
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