| Community Counseling And Mentoring Services | |
|
312 Superior Mall Port Huron MI 48060-3833 | |
| (810) 987-2681 | |
| (810) 987-2784 |
| Full Name | Community Counseling And Mentoring Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 312 Superior Mall, Port Huron, Michigan |
| Authorized Official Name and Position | Karen Ann Gavin (OFFICE MANAGER) |
| Authorized Official Contact | 8109872681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling And Mentoring Services 312 Superior Mall Port Huron MI 48060-3833 Ph: (810) 987-2681 | Community Counseling And Mentoring Services 312 Superior Mall Port Huron MI 48060-3833 Ph: (810) 987-2681 |
| NPI Number | 1376741165 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376741165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401005551 (Michigan) | Primary |
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