Organization
CHANGING COURSE COUNSELING, PLC
Active
Organization
CHANGING COURSE COUNSELING, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE S WOOD LMSW (LMSW/OWNER)
(810) 357-9318
Entity
Organization
Contact information
Practice address
3071 COMMERCE DR STE B, FORT GRATIOT, MI 48059-3869
(810) 357-9318
(810) 479-9684
Mailing address
4131 FAIRWAY DR, FORT GRATIOT, MI 48059-3905
(810) 357-9318
(810) 479-9684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/05/2013
Last updated
08/07/2024
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