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Organization
IT'S YOUR JOURNEY COUNSELING PLLC
Active
Organization
IT'S YOUR JOURNEY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE HAKKEN LMSW (OWNER)
(269) 329-8708
Entity
Organization
Contact information
Practice address
418 BROADWAY ST, SOUTH HAVEN, MI 49090-1421
(269) 329-8708
Mailing address
418 BROADWAY ST, SOUTH HAVEN, MI 49090-1421
(269) 329-8708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/29/2020
Last updated
10/31/2020
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