| Northern Light Counseling Pllc | |
|
499 Century Ln Ste 50 Holland MI 49423-4393 | |
| (616) 326-2564 | |
| (855) 256-6084 |
| Full Name | Northern Light Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 499 Century Ln Ste 50, Holland, Michigan |
| Authorized Official Name and Position | Jill Bawks (OWNER) |
| Authorized Official Contact | 6163262564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Light Counseling Pllc 499 Century Ln Ste 50 Holland MI 49423-4393 Ph: (616) 326-2564 | Northern Light Counseling Pllc 499 Century Ln Ste 50 Holland MI 49423-4393 Ph: (616) 326-2564 |
| NPI Number | 1871061911 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871061911 | NPI | - | NPPES |
| 1932520053 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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