Living Water Christian Counseling Center
NPI #1194152983 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1194152983
- Entity Type
- Organization
- Organization Name
- Living Water Christian Counseling Center
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 11, 2013
- Last Updated
- Oct 11, 2013
Practice Location
- Address
- 258 NB GRATIOT AVE
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-5749
- Phone
- (586) 954-0475
Authorized Official
- Name
- MR. JOHN ELBERT O'NEAL SR.
- Title
- EXEC.DIRECTOR/OWNER
- Phone
- (586) 954-0475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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