| Northern Star Counseling Services, Llc | |
|
308 Cleveland Ave Ste 311 Ishpeming MI 49849-1842 | |
| (906) 362-4174 | |
| Not Available |
| Full Name | Northern Star Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 308 Cleveland Ave Ste 311, Ishpeming, Michigan |
| Authorized Official Name and Position | Martha J Potter (THERAPIST) |
| Authorized Official Contact | 9063624174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Star Counseling Services, Llc 308 Cleveland Ave Ste 311 Ishpeming MI 49849-1842 Ph: (906) 362-4174 | Northern Star Counseling Services, Llc 308 Cleveland Ave Ste 311 Ishpeming MI 49849-1842 Ph: (906) 362-4174 |
| NPI Number | 1184199168 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184199168 | NPI | - | NPPES |
| 1346639903 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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