Individual
CARRIE J TREMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
Mailing address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011584
MI
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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