Organization
ASPEN COUNSELING AND RECOVERY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PANGRAZZI MA,LLP (OWNER)
(906) 387-1030
Entity
Organization
Contact information
Practice address
202 ELM AVE, SUITE 2, MUNISING, MI 49862-1108
(906) 387-1030
(906) 387-1038
Mailing address
202 ELM AVE, SUITE 2, MUNISING, MI 49862-1108
(906) 387-1030
(906) 387-1038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009362
MI
1041C0700X
Clinical Social Worker
6801085455
MI
Other
Enumeration date
03/29/2010
Last updated
06/09/2010
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