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Organization
STARBOARD COUNSELING LLC
Active
Organization
STARBOARD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOUGLAS MULLIN LMSW (SOLE MEMBER)
(406) 480-6070
Entity
Organization
Contact information
Practice address
3923 ESSEX PL, FORT GRATIOT, MI 48059-3762
(406) 480-6070
Mailing address
3923 ESSEX PL, FORT GRATIOT, MI 48059-3762
(406) 480-6070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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