| Abundant Life Counseling & Consulting Services, Llc | |
|
348 Main St Huron OH 44839-1610 | |
| (419) 359-0307 | |
| (833) 667-6490 |
| Full Name | Abundant Life Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 348 Main St, Huron, Ohio |
| Authorized Official Name and Position | Nycola Ann Bouck (OWNER/THERAPIST) |
| Authorized Official Contact | 4193590307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Counseling & Consulting Services, Llc 348 Main St Huron OH 44839-1610 Ph: (419) 359-0307 | Abundant Life Counseling & Consulting Services, Llc 348 Main St Huron OH 44839-1610 Ph: (419) 359-0307 |
| NPI Number | 1407478555 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407478555 | NPI | - | NPPES |
| 1700431277 | Other | OH | NPPES |
| 1619188463 | Other | OH | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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