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Organization
INNER PEACE COUNSELING, PLC
Active
Organization
INNER PEACE COUNSELING, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY YOUNGBLOOD (PSYCHOTHERAPIST)
(269) 213-5002
Entity
Organization
Contact information
Practice address
4155 S 9TH ST, KALAMAZOO, MI 49009-8120
(269) 213-5002
Mailing address
4155 S 9TH ST, KALAMAZOO, MI 49009-8120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098813
MI
106H00000X
Marriage & Family Therapist
4101006666
MI
Other
Enumeration date
06/08/2017
Last updated
08/02/2017
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