Individual
CHARLENE ANN PAHL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW ACSW
Contact information
Practice address
212 KENT ST STE 5, CHILD AND FAMILY WELLNESS COUNSELING CTR, PORTLAND, MI 48875
(517) 647-4600
(517) 647-4600
Mailing address
212 KENT ST STE 5, CHILD AND FAMILY WELLNESS COUNSELING CTR, PORTLAND, MI 48875
(517) 647-4600
(517) 647-4600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801062387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008948970
BCBS OF MI
MI
Enumeration date
03/10/2006
Last updated
07/08/2007
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