Organization
AWAKENINGS CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M KLEIN MA LPC (OWNER/MANAGER)
(231) 342-8100
Entity
Organization
Contact information
Practice address
8145 VALLEYWOOD LN STE B, PORTAGE, MI 49024-5296
(231) 342-8100
Mailing address
9444 MARICOPA TRAIL, KALAMAZOO, MI 49009
(231) 342-8100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009848
MI
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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