Organization
MOM BRAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE RAE PALUCH MS, LLPC (OWNER, COUNSELOR)
(517) 221-9586
Entity
Organization
Contact information
Practice address
4570 BLACKTAIL AVE, PORTAGE, MI 49002-9007
(517) 221-9586
Mailing address
4570 BLACKTAIL AVE, PORTAGE, MI 49002-9007
(517) 221-9586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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