Organization
THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC
Active
Other names
Third Coast Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JAKOB ROSSI LPC (OWNER)
(231) 632-0814
Entity
Organization
Contact information
Practice address
733 E 8TH ST STE 204, TRAVERSE CITY, MI 49686-2665
(231) 753-3134
Mailing address
1601 E 8TH ST, TRAVERSE CITY, MI 49686-2923
(231) 632-0814
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6401015285
MI
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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