Organization
LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD R NOEL (ASSOCIATE DIRECTOR OF FINANCE)
(517) 552-7169
Entity
Organization
Contact information
Practice address
3800 W GRAND RIVER AVE, SUITE 109, HOWELL, MI 48855-5513
(248) 767-6837
Mailing address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 552-7169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801046966
MI
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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