Organization
INSTITUTE FOR CHRISTIAN COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL VARANI PH.D. (PRESIDENT)
(810) 629-8179
Entity
Organization
Contact information
Practice address
12470 MARGARET DR, FENTON, MI 48430-8856
(810) 629-8179
Mailing address
12470 MARGARET DR, FENTON, MI 48430-8856
(810) 629-8179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301004055
MI
Other
Enumeration date
06/04/2006
Last updated
01/28/2013
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