Organization
MARNE MARCH OLLI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNE MARCH OLLI LLPC (COUNSELOR)
(989) 350-0183
Entity
Organization
Contact information
Practice address
440 W MAIN ST, STE B, GAYLORD, MI 49735-1885
(989) 350-0183
Mailing address
7272 E OPAL LAKE RD, GAYLORD, MI 49735-9083
(989) 350-0183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401012223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12202205
CAQH
MI
01
—
66881
MERIDIAN HEALTH PLAN
MI
Enumeration date
02/05/2014
Last updated
02/05/2014
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