Organization
INLAND SEAS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY LOUISE KOLLHOFF M.A., LPC (GENERAL MANAGER)
(231) 775-7660
Entity
Organization
Contact information
Practice address
1020 HASTINGS ST STE 105, TRAVERSE CITY, MI 49686-3457
(231) 775-7660
(231) 421-3239
Mailing address
3056 TIBBETS DR, TRAVERSE CITY, MI 49696-9120
(231) 775-7660
(231) 421-3239
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007670
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12122772
CAQH
MI
Enumeration date
06/18/2010
Last updated
09/13/2013
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