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Organization

CREATIVE HOLISTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLENDA MARTINEZ LMSW (SOCIAL WORKER)
(734) 474-2205
Entity
Organization

Contact information

Practice address
420 JENNISON ST, BAY CITY, MI 48708-7846
(734) 474-2205
Mailing address
420 JENNISON ST, BAY CITY, MI 48708-7846

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/15/2020
Last updated
02/15/2020
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