Organization
CHANGING SEASONS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY GIBSON ED.D (OWNER/THERAPIST)
(906) 863-5646
Entity
Organization
Contact information
Practice address
2012 10TH ST, MENOMINEE, MI 49858-2194
(906) 863-5646
(906) 863-1078
Mailing address
2012 10TH ST, MENOMINEE, MI 49858-2194
(906) 863-5646
(906) 863-1078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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