Organization
PROFESSIONAL COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CAZA (INTERIM EXECUTIVE DIRECTOR)
(810) 984-4202
Entity
Organization
Contact information
Practice address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 984-4202
(810) 984-8896
Mailing address
520 SUPERIOR STREET, PORT HURON, MI 48060
(810) 984-4202
(810) 984-8896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4301038492
MI
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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