Organization
REAL LIFE COUNSELING OF NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE TRACY (COUNSELOR)
(231) 622-5800
Entity
Organization
Contact information
Practice address
1982 E. MITCHELL RD., PETOSKEY, MI 49770
(231) 622-5800
(231) 272-5721
Mailing address
1982 E. MITCHELL RD., PETOSKEY, MI 49770
(231) 622-5800
(231) 272-5721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
11/24/2025
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