Organization
A COLLECTIVE COUNSELING LIFELINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA F BRADEN-HORSTMAN LMSW (CLINICAL THERAPIST/PARTNER)
(989) 720-4510
Entity
Organization
Contact information
Practice address
215 N WATER ST STE 139, OWOSSO, MI 48867-2807
(989) 720-4510
Mailing address
215 N WATER ST STE 139, OWOSSO, MI 48867-2807
(989) 720-4510
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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