| Spade's Counseling Agency | |
|
621 1st St Menominee MI 49858-3229 | |
| (906) 864-9830 | |
| (906) 864-9831 |
| Full Name | Spade's Counseling Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 1st St, Menominee, Michigan |
| Authorized Official Name and Position | Diane Elaine Spade (OWNER) |
| Authorized Official Contact | 9068649830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spade's Counseling Agency 621 1st St Menominee MI 49858-3229 Ph: (906) 864-9830 | Spade's Counseling Agency 621 1st St Menominee MI 49858-3229 Ph: (906) 864-9830 |
| NPI Number | 1689993800 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689993800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4388125 (Wisconsin) | Primary |
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