Individual
MISS DANIELLE ARDIS PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1125 E MILHAM AVE STE B, PORTAGE, MI 49002-3096
(269) 312-1446
(269) 225-6949
Mailing address
PO BOX 2174, KALAMAZOO, MI 49003-2174
(269) 312-1446
(269) 225-6949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401015553
MI
101YP2500X
Professional Counselor
Primary
6401015553
MI
Other
Enumeration date
08/12/2015
Last updated
02/10/2024
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