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Organization
STILL WATERS CHRISTIAN COUNSELING CENTER, LLC
Active
Organization
STILL WATERS CHRISTIAN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARMEN JO MCMILLAN LMSW (OWNER)
(586) 484-4285
Entity
Organization
Contact information
Practice address
15 TRUMAN ST, #207, CROSWELL, MI 48422-1161
(586) 484-4285
Mailing address
15 TRUMAN ST, #207, CROSWELL, MI 48422-1161
(586) 484-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6801092671
MI
101Y00000X
Counselor
6801100346
MI
104100000X
Social Worker
6801100346
MI
1041C0700X
Clinical Social Worker
Primary
6801092671
MI
106H00000X
Marriage & Family Therapist
6801092671
MI
106H00000X
Marriage & Family Therapist
6801100346
MI
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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