Organization
HARBORSIDE COUNSELING AND MEDIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE MARIE MILLIGAN MA, CTP (CEO)
(574) 274-7358
Entity
Organization
Contact information
Practice address
1400 E ANGELA BLVD, SOUTH BEND, IN 46617-1364
(574) 212-2494
Mailing address
1400 E ANGELA BLVD, SOUTH BEND, IN 46617-1364
(574) 212-2494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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