Organization · Type 2 NPI

Actualized Self Counseling and Wellness P.l.l.c.

Professional Counselor · Traverse City, MI

NPI number 1760950257 Active

Practice location

3301 Veterans Dr Ste 106
Traverse City, MI 49684-4592

Mailing address

583 Roman Dr
Traverse City, MI 49685-8132

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1760950257

Actualized Self Counseling and Wellness P.l.l.c.'s National Provider Identifier is 1760950257, issued on Nov 2, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Traverse City, MI. The record was last updated on Nov 2, 2018.