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Organization
NORTHERN LIGHT COUNSELING PLLC
Active
Organization
NORTHERN LIGHT COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BAWKS LMSW (OWNER)
(616) 326-2564
Entity
Organization
Contact information
Practice address
499 CENTURY LN STE 50, HOLLAND, MI 49423-4393
(616) 326-2564
(855) 256-6084
Mailing address
499 CENTURY LN STE 50, HOLLAND, MI 49423-4393
(616) 326-2564
(855) 256-6084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932520053
—
MI
Enumeration date
11/07/2018
Last updated
11/07/2018
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