Organization
GENESIS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACHELLE DIA VIETZ LLMFT (DIRECTOR)
(269) 998-4388
Entity
Organization
Contact information
Practice address
304 W MICHIGAN AVE, PAW PAW, MI 49079-1012
(269) 998-4388
(269) 624-2495
Mailing address
68155 26TH ST, LAWTON, MI 49065-9615
(269) 998-4388
(269) 624-2495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
D4854G
MI
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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