Organization
CREATIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA BOMBRYS LMSW (OWNER-COUNSELOR)
(517) 862-9378
Entity
Organization
Contact information
Practice address
913 W HOLMES RD, SUITE 179, LANSING, MI 48910-0426
(517) 862-9378
Mailing address
913 W HOLMES RD, SUITE 179, LANSING, MI 48910-0426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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