Organization · Type 2 NPI
Blaq Therapy
Professional Counselor · Mattawan, MI
NPI number
1609646256
Active
Practice location
24073 Crescent St
Mattawan, MI 49071-8457
Mailing address
PO Box 714
Mattawan, MI 49071-0714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Art Therapist | 221700000X | None listed |
| Music Therapist | 225A00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | None listed |
Professional Counselor: Definition to come...
Other professional counselor providers in Mattawan
About NPI 1609646256
Blaq Therapy's National Provider Identifier is 1609646256, issued on Jan 4, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mattawan, MI. The record was last updated on Jan 4, 2024.