Organization
COURAGEOUS LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI NEUMANN DSW (SOCIAL WORKER)
(231) 313-9165
Entity
Organization
Contact information
Practice address
1200 W ELEVENTH ST STE 114, TRAVERSE CITY, MI 49684-3288
(231) 493-2111
(231) 525-2066
Mailing address
5814 LONDON DR, TRAVERSE CITY, MI 49685-8010
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6801093452
MI
Other
Enumeration date
01/15/2018
Last updated
11/15/2018
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