Organization
SOUL GARDEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
1953 KETEGAWN RD, OWOSSO, MI 48867-1529
(720) 220-8106
Mailing address
1953 KETEGAWN RD, OWOSSO, MI 48867-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/11/2024
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