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Organization

LIGHTHOUSE COUNSELING

Active
Other names
Lighthouse Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRIANA MARIE DIXON MA, LLPC,CAADP (THERAPIST/OWNER)
(269) 408-6031
Entity
Organization

Contact information

Practice address
251 S. STATE ST, SAINT JOSEPH, MI 49085
(269) 408-6031
Mailing address
251 S. STATE ST, SAINT JOSEPH, MI 49085
(269) 408-6031

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6401012473
MI
251S00000X
Community/Behavioral Health Agency
Primary
6401014597
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154698793
MI
05
1265848147
MI
Enumeration date
08/05/2015
Last updated
08/05/2015
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