Organization
MIND & BODY COUNSELING & COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE GADEN MA, LPC (OWNER/ COUNSELOR)
(810) 623-7375
Entity
Organization
Contact information
Practice address
407 E GRAND RIVER AVE STE C, BRIGHTON, MI 48116-1547
(810) 623-7375
Mailing address
407 E GRAND RIVER AVE STE C, BRIGHTON, MI 48116-1547
(810) 623-7375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861577926
—
MI
Enumeration date
09/18/2017
Last updated
07/21/2022
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