Organization
BLUE LAKE COUNSELING PLLC
Active
Organization
BLUE LAKE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENEE MILLER LMSW (OWNER)
(810) 666-5033
Entity
Organization
Contact information
Practice address
2079 EDWARD LN E, KIMBALL, MI 48074-1925
(810) 666-5033
Mailing address
2079 EDWARD LN E, KIMBALL, MI 48074-1925
(810) 666-5033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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