Organization
CLINTON COUNTY MEDICAL CENTER PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD MESSENGER LLMSW (EXECUTIVE DIRECTOR)
(989) 224-3000
Entity
Organization
Contact information
Practice address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 224-3000
(989) 224-0951
Mailing address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 224-3000
(989) 224-0951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
06/10/2013
Last updated
07/31/2014
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