Organization
ACG THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GAUTHIER LMSW (CLINICAL MASTER SOCIAL WORK)
(248) 408-6478
Entity
Organization
Contact information
Practice address
11831 MAPLE RD STE 4, BIRCH RUN, MI 48415-8487
(248) 408-6478
Mailing address
1871 E PACKARD DR, SAGINAW, MI 48638-4516
(248) 408-6478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
01/10/2020
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