Organization
FELLOWSHIP COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J PELTZ M.A.,M.S.W.,ACSW (PRESIDENT/COUNSELOR)
(906) 786-4733
Entity
Organization
Contact information
Practice address
1100 LUDINGTON ST STE 306, ESCANABA, MI 49829-3500
(906) 786-4733
Mailing address
1100 LUDINGTON ST STE 306, ESCANABA, MI 49829-3500
(906) 786-4733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6801062626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008971370
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/17/2007
Last updated
03/05/2008
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