Organization
MICHELLE BROCKINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BROCKINGTON (LLMSW, COUNSELOR)
(517) 775-7609
Entity
Organization
Contact information
Practice address
441 SWARTZ CT, IONIA, MI 48846-2157
(517) 775-7609
Mailing address
11390 E PAKES RD, CRYSTAL, MI 48818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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