Organization
UP NORTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI J SPONABLE M.A., L.L.P.C (COUNSELOR)
(616) 558-8418
Entity
Organization
Contact information
Practice address
3773 WILSON RD, EAST JORDAN, MI 49727-9262
(616) 558-8418
Mailing address
3773 WILSON RD, EAST JORDAN, MI 49727-9262
(616) 558-8418
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401013159
MI
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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