Organization
BIENE STAR COUNSELING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
1575 N EAST SILVER LAKE RD, TRAVERSE CITY, MI 49685-8030
(231) 313-1503
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091840
MI
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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