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Organization

OPEN DOOR FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE MICHAEL ZOLMAN LPC (MANAGER)
(517) 936-7580
Entity
Organization

Contact information

Practice address
316 S BROWN ST STE A, JACKSON, MI 49203-1481
(517) 936-7580
Mailing address
726 OAKRIDGE DR, JACKSON, MI 49203-3915
(517) 936-7580

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401010101
STATE LICENSE NUMBER FOR PROFESSIONAL COUNSELING
MI
Enumeration date
02/27/2020
Last updated
02/27/2020
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