Organization
COMMUNITY COUNSELING & MENTORING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GAVIN BA (MANAGING DIRECTOR)
(810) 987-2681
Entity
Organization
Contact information
Practice address
312 SUPERIOR MALL, PORT HURON, MI 48060-3833
(810) 987-2681
(810) 987-2784
Mailing address
312 SUPERIOR MALL, PORT HURON, MI 48060-3833
(810) 987-2681
(810) 987-2784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011235
MI
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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