Organization · Type 2 NPI
Blue Water Healing Clinic LLC
Professional Counselor · Jackson, MI
NPI number
1861284267
Active
Practice location
1902 4th St
Jackson, MI 49203-4040
Mailing address
2902 Little St
Port Huron, MI 48060-6829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
Professional Counselor: Definition to come...
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About NPI 1861284267
Blue Water Healing Clinic LLC's National Provider Identifier is 1861284267, issued on May 21, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MI. The record was last updated on May 21, 2025.