Individual
THERESA CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
321 E OHIO ST, MARQUETTE, MI 49855-3847
(906) 226-5100
Mailing address
321 E OHIO ST, MARQUETTE, MI 49855-3847
(906) 226-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401224368
MI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/01/2020
Last updated
04/10/2025
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