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Organization

ACTON FAMILY COUNSELING

Active
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Organization

ACTON FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE LAFOREST (AGENT)
(313) 633-4358
Entity
Organization

Contact information

Practice address
2301 RIDGEWAY RD, JACKSON, MI 49203-5148
(517) 206-7879
Mailing address
2301 RIDGEWAY RD, JACKSON, MI 49203-5148
(517) 206-7879

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6401010908
MI
Enumeration date
01/17/2019
Last updated
03/18/2021
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