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Organization
INSIGNIA COUNSELING SERVICE LLC
Active
Organization
INSIGNIA COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
954 BUSINESS PARK DR STE 5, TRAVERSE CITY, MI 49686
(231) 632-0204
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089687
MI
Other
Enumeration date
07/16/2018
Last updated
09/06/2018
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