Organization
EVERBLOOM COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
2652 SPRING ARBOR RD, JACKSON, MI 49203-3604
(517) 200-9889
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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