Organization
MICHIANA COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L DIGANGI ED.D (OWNER)
(574) 277-4985
Entity
Organization
Contact information
Practice address
3130 S 11TH ST, NILES, MI 49120-4736
(574) 277-4985
Mailing address
3130 S 11TH ST, NILES, MI 49120-4736
(574) 277-4985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MF008148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A14526
BLUE CROSS MICHIGAN
MI
Enumeration date
12/01/2010
Last updated
08/16/2024
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