Organization
PHOENIX RISING PROFESSIONAL COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD CHRISTOPHER DAY MA, LLPC, NCC (DIRECTOR)
(269) 998-9696
Entity
Organization
Contact information
Practice address
302 WEST MICHIGAN AVENUE, PAW PAW, MI 49079-0026
(269) 998-9696
(269) 415-0284
Mailing address
PO BOX 26, PAW PAW, MI 49079-0026
(269) 998-9696
(269) 415-0284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010792
MI
101YP2500X
Professional Counselor
Primary
6401010792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700049061
NPI NUMBER
MI
Enumeration date
04/21/2010
Last updated
04/21/2010
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