Organization · Type 2 NPI
Phoenix Rising Professional Counseling, PC
Professional Counselor · Paw Paw, MI
NPI number
1447577101
Active
Practice location
302 West Michigan Avenue
Paw Paw, MI 49079-0026
Fax (269) 415-0284
Mailing address
PO Box 26
Paw Paw, MI 49079-0026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6401010792 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401010792 (MI) |
Professional Counselor: Definition to come...
About NPI 1447577101
Phoenix Rising Professional Counseling, PC's National Provider Identifier is 1447577101, issued on Apr 21, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Paw Paw, MI. The record was last updated on Apr 21, 2010.