Individual provider · Type 1 NPI
Captain Blake Soderstrom
Mental Health Counselor · Brimley, MI
NPI number
1699176677
Active
Practice location
PO Box 303
Brimley, MI 49715-0303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401222931 (MI) |
| Mental Health Counselor Primary | 101YM0800X | 010908-01 (NY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Brimley
About NPI 1699176677
Captain Blake Soderstrom's National Provider Identifier is 1699176677, issued on Sep 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brimley, MI. The record was last updated on Apr 5, 2024.