Organization
ADVANTGAE COUNSELING AND EDUCATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HOSTERMAN (PRESIDENT)
(810) 679-0200
Entity
Organization
Contact information
Practice address
81 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-0200
Mailing address
81 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-0200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401011000
MI
1041C0700X
Clinical Social Worker
Primary
6801083748
MI
Other
Enumeration date
11/26/2014
Last updated
01/26/2021
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