Organization
AT HOME COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E SHOUSE CSW (OWNER)
(517) 673-4476
Entity
Organization
Contact information
Practice address
208 CLARK ST, CLINTON, MI 49236-9561
(517) 673-4476
Mailing address
208 CLARK ST, CLINTON, MI 49236-9561
(517) 673-4476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801072025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08968320
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
04/16/2008
Last updated
03/14/2013
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