| Pro-active Counseling Llc | |
|
1410 84th St Sw Byron Center MI 49315-9344 | |
| (616) 292-1995 | |
| (616) 827-2277 |
| Full Name | Pro-active Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1410 84th St Sw, Byron Center, Michigan |
| Authorized Official Name and Position | Angela Musselman (DIRECTOR) |
| Authorized Official Contact | 6162921995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-active Counseling Llc Po Box 519 Byron Center MI 49315-0519 Ph: (616) 292-1995 | Pro-active Counseling Llc 1410 84th St Sw Byron Center MI 49315-9344 Ph: (616) 292-1995 |
| NPI Number | 1376178020 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376178020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
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