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Organization
BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C.
Active
Organization
BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CHARLES LUNDBLAD LMSW ACSW (EXECUTIVE DIRECTOR)
(810) 985-7380
Entity
Organization
Contact information
Practice address
824 HURON AVE, PORT HURON, MI 48060-3705
(810) 985-7380
(810) 985-3074
Mailing address
824 HURON AVE, PORT HURON, MI 48060-3705
(810) 985-7380
(810) 985-3074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801016861
MI
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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