Organization
DOVE OF PEACE CHRISTIAN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M GRETTENBERGER (OWNER)
(586) 443-1834
Entity
Organization
Contact information
Practice address
51145 WASHINGTON ST STE H, NEW BALTIMORE, MI 48047-2100
(586) 443-1834
Mailing address
51145 WASHINGTON ST STE H, NEW BALTIMORE, MI 48047-2100
(586) 443-1834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
11/11/2022
Last updated
11/11/2022
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