Impact is a Counselor based in Port Huron, MI. Impact practices in Port Huron, MI. The NPI Number for Impact is 1407130578 and holds a License No. 6801093360 (Michigan).
The current practice location address for Impact is 1001 Military St, Port Huron, MI and can be reached out via phone at 810-985-5168 and via fax at 800-248-1568.
Location: 1001 Military St, Port Huron, MI, 48060-5416
Provider Profile Details
NPI Number
1407130578
Provider Name
Impact
Credential
Provider Entity Type
Organization
Address
1001 Military St, Port Huron, MI, 48060-5416
Phone Number
810-985-5168
Fax Number
800-248-1568
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1001 Military St
City
State
Zip
48060-5416
Phone Number
810-985-5168
Fax Number
800-248-1568
Provider Business Mailing Address Details
Address
1001 Military St
City
State
Zip
48060-5416
Phone Number
810-985-5168
Fax Number
800-248-1568
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6801093360 (Michigan)
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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