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Ascension Medical Group Promed
Counselor in Portage, Michigan
NPI 1063542165

Ascension Medical Group Promed is a Counselor based in Kalamazoo, MI. Ascension Medical Group Promed practices in Portage, MI. The NPI Number for Ascension Medical Group Promed is 1063542165 and holds a License No. (Michigan).

The current practice location address for Ascension Medical Group Promed is 8001 Angling Rd, Portage, MI and can be reached out via phone at 269-321-7090. You can also correspond with Ascension Medical Group Promed through the mailing address at 1717 SHAFFER ST STE 2, KALAMAZOO, MI - 49048-1623 (mailing address contact number: 269-552-2836).

Location: 8001 Angling Rd, Portage, MI, 49048-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063542165
Provider Name
Ascension Medical Group Promed
Credential
Provider Entity Type
Organization
Address
8001 Angling Rd, Portage, MI, 49048-1623
Phone Number
269-321-7090
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
750910577 01 MI BCBSM GROUP #
institution
Provider Business Practice Location Address Details
Address
8001 Angling Rd
City
Portage
State
Michigan
Zip
49024-7422
Phone Number
269-321-7090
Fax Number
person
Provider Business Mailing Address Details
Address
8001 Angling Rd
City
Portage
State
Michigan
Zip
49024-7422
Phone Number
269-321-7090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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