Organization
NOVA COUNSELING ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JAMES RUNDQUIST LPC (ADMINISTRATIVE DIRECTOR)
(231) 796-4637
Entity
Organization
Contact information
Practice address
1724 N STATE ST, BIG RAPIDS, MI 49307-9073
(231) 796-4637
Mailing address
1724 N STATE ST, BIG RAPIDS, MI 49307-9073
(231) 796-4637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
540022
MI
101YP2500X
Professional Counselor
Primary
6401000066
MI
Other
Enumeration date
12/29/2006
Last updated
11/17/2015
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