| Port Huron Counseling Behavioral Specialist | |
|
309 Mcmorran Blvd Port Huron MI 48060-3807 | |
| (810) 488-7974 | |
| Not Available |
| Full Name | Port Huron Counseling Behavioral Specialist |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 309 Mcmorran Blvd, Port Huron, Michigan |
| Authorized Official Name and Position | Shelley Taglione (BILLING CO) |
| Authorized Official Contact | 7344140754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Huron Counseling Behavioral Specialist 42928 Versailles Rd Canton MI 48187-2344 Ph: (810) 488-7974 | Port Huron Counseling Behavioral Specialist 309 Mcmorran Blvd Port Huron MI 48060-3807 Ph: (810) 488-7974 |
| NPI Number | 1912142035 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912142035 | NPI | - | NPPES |
| 2607611202 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301055449 (Michigan) | Primary |
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