Pediatric Counseling Center, LLC

NPI #1154583235 in Kalamazoo, Michigan

Provider Information

NPI Number: 1154583235
Entity Type: Organization
Organization Name: Pediatric Counseling Center, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 950 N 10TH ST
Address 2: SUITE 200
City: Kalamazoo
State: Michigan
ZIP Code: 49009-6112
Phone: (269) 372-6500

Authorized Official

Name: MS. JODI TEN BROEKE
Title: OWNER
Phone: (269) 372-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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