# PROFESSIONAL COUNSELING CENTER,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225049760
- **Authorized official:** TERRI LYNN MOSS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (810) 294-4880

## Contact information

- **Practice address:** 520 SUPERIOR ST, PORT HURON, MI 48060-3838
- **Practice address phone:** (810) 984-4202
- **Practice address fax:** (810) 984-8896
- **Mailing address:** 520 SUPERIOR ST, PORT HURON, MI 48060
- **Mailing address phone:** (810) 984-4202
- **Mailing address fax:** (810) 984-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 740040 | MI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 02/06/2024
