Organization
PRO-ACTIVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MUSSELMAN LLP (DIRECTOR)
(616) 292-1995
Entity
Organization
Contact information
Practice address
1410 84TH ST SW, BYRON CENTER, MI 49315-9344
(616) 292-1995
(616) 827-2277
Mailing address
PO BOX 519, BYRON CENTER, MI 49315-0519
(616) 292-1995
(616) 827-2277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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