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Organization
GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization
GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
Gogebic County Community Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TESS GREENOUGH (C.E.O.)
(906) 229-6100
Entity
Organization
Contact information
Practice address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6100
(906) 229-6191
Mailing address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6100
(906) 229-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708119
—
MI
05
—
4351265
—
MI
01
—
750910818
BLUE CROSS OPC
MI
01
—
IG027143
MAGELLAN STATE OF MI GROU
MI
Enumeration date
05/10/2006
Last updated
08/30/2023
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