Organization
COLLOQUIUM COUNSELING AND CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH KRISTOVIC LMSW (OWNER)
(312) 610-9552
Entity
Organization
Contact information
Practice address
902 S HIGBY ST, JACKSON, MI 49203-2873
(312) 610-9552
Mailing address
902 S HIGBY ST, JACKSON, MI 49203-2873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801099286
MI
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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