Organization
FAMILY & LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GERALD RAQUET (SOLE MEMBER)
(231) 245-7945
Entity
Organization
Contact information
Practice address
409 CHEROKEE DR, FREMONT, MI 49412-1719
(231) 924-3610
Mailing address
409 CHEROKEE DR, FREMONT, MI 49412-1719
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4101006243
MI
Other
Enumeration date
08/29/2008
Last updated
06/14/2024
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