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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