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Northside Counseling Inc
Professional Counselor in Lake Ann, Michigan
NPI 1528134277

Northside Counseling Inc is a Professional Counselor based in Lake Ann, MI and is specialized in Professional. Northside Counseling Inc practices in Lake Ann, MI. The NPI Number for Northside Counseling Inc is 1528134277 and holds a License No. 180000932 (Michigan).

The current practice location address for Northside Counseling Inc is 20130 Samara Trl, Lake Ann, MI and can be reached out via phone at 773-960-8359.

Location: 20130 Samara Trl, Lake Ann, MI, 49650-9685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528134277
Provider Name
Northside Counseling Inc
Credential
Provider Entity Type
Organization
Address
20130 Samara Trl, Lake Ann, MI, 49650-9685
Phone Number
773-960-8359
Fax Number
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001634445 01 IL BCBSIL
103637507 01 IL UBH
institution
Provider Business Practice Location Address Details
Address
20130 Samara Trl
City
Lake Ann
State
Michigan
Zip
49650-9685
Phone Number
773-960-8359
Fax Number
person
Provider Business Mailing Address Details
Address
20130 Samara Trl
City
Lake Ann
State
Michigan
Zip
49650-9685
Phone Number
773-960-8359
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180000932 (Illinois)
Definition
Definition to come...
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