Organization
WILLOW CREEK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE CHAMPEAU MA, LLPC (PROFESSIONAL COUNSELOR)
(248) 250-0140
Entity
Organization
Contact information
Practice address
12795 FOUNTAIN SQ, DAVISBURG, MI 48350-9991
(248) 250-0140
Mailing address
12795 FOUNTAIN SQ, DAVISBURG, MI 48350-9991
(248) 250-0140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401014143
MI
Other
Enumeration date
06/05/2014
Last updated
10/07/2014
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