| Shannon L Groh, Ma, Lpc Counseling, Pllc | |
|
2600 Morton Ave Saint Joseph MI 49085-2141 | |
| (269) 921-3643 | |
| Not Available |
| Full Name | Shannon L Groh, Ma, Lpc Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2600 Morton Ave, Saint Joseph, Michigan |
| Authorized Official Name and Position | Shannon L Groh (OWNER/COUNSELOR) |
| Authorized Official Contact | 2699213643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L Groh, Ma, Lpc Counseling, Pllc 3480 Wyndwicke Dr Saint Joseph MI 49085-8605 Ph: () - | Shannon L Groh, Ma, Lpc Counseling, Pllc 2600 Morton Ave Saint Joseph MI 49085-2141 Ph: (269) 921-3643 |
| NPI Number | 1508294901 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508294901 | NPI | - | NPPES |
| 6401013838 | Other | MI | COUNSELING SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6410103838 (Michigan) | Primary |
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