Organization
COLLECTIVE IMPACT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CLARK (OWNER)
(231) 838-6099
Entity
Organization
Contact information
Practice address
616 ELIZABETH ST, PETOSKEY, MI 49770
(231) 758-6776
Mailing address
616 ELIZABETH ST, PETOSKEY, MI 49770-2704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
04/17/2023
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