Organization
NEW RIVER COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANTHONY SILLIMAN LPC (DIRECTOR/THERAPIST)
(269) 359-3269
Entity
Organization
Contact information
Practice address
2663 44TH ST SW STE 106, WYOMING, MI 49519-4189
(269) 359-3269
Mailing address
167 N DRAKE RD # 19788, KALAMAZOO, MI 49009-9998
(269) 359-3269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2341719
—
OH
Enumeration date
02/26/2019
Last updated
02/26/2019
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