Organization
RENEGADE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA STOKES LPC (MENTAL HEALTH COUNSELOR)
(231) 429-8396
Entity
Organization
Contact information
Practice address
5303 OLD COUNTY RD 611, KINGSLEY, MI 49649-9246
(231) 429-8396
Mailing address
5303 OLD COUNTY RD 611, KINGSLEY, MI 49649-9246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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