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Organization
STILL WATER PROFESSIONAL COUNSELING, LLC
Active
Organization
STILL WATER PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R BOOTHROYD JR. LPC (SOLE MBR)
(989) 832-0191
Entity
Organization
Contact information
Practice address
5100 EASTMAN AVE, STE 2, MIDLAND, MI 48640
(989) 832-0191
(989) 486-9413
Mailing address
5100 EASTMAN AVE, STE 2, MIDLAND, MI 48640
(989) 832-0191
(989) 486-9413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013357
MI
Other
Enumeration date
12/13/2017
Last updated
12/28/2023
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