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Organization

EVERGREEN COUNSELING AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTY ROBBENNOLT (OWNER/MEMBER/THERAPIST)
(517) 221-9522
Entity
Organization

Contact information

Practice address
526 S CREYTS RD STE C, LANSING, MI 48917-8263
(517) 221-9522
Mailing address
526 S CREYTS RD STE C, LANSING, MI 48917-8263
(517) 221-9522

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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