Organization
BOUHARB COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (BILLING/CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
2630 DUNDEE DR, WARREN, MI 48092-1038
(210) 379-1101
(210) 379-1101
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013620
MI
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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