Organization
SPADE'S COUNSELING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE ELAINE SPADE MA, LPC (OWNER)
(906) 864-9830
Entity
Organization
Contact information
Practice address
621 1ST ST, MENOMINEE, MI 49858-3229
(906) 864-9830
(906) 864-9831
Mailing address
621 1ST ST, MENOMINEE, MI 49858-3229
(906) 864-9830
(906) 864-9831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4388125
WI
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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