Blue Lake Counseling Pllc

NPI #1346853108 in Kimball, Michigan

Provider Information

NPI Number
1346853108
Entity Type
Organization
Organization Name
Blue Lake Counseling Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Aug 31, 2020
Last Updated
Aug 31, 2020

Practice Location

Address
2079 EDWARD LN E
ZIP Code
48074-1925
Phone
(810) 666-5033

Authorized Official

Name
HEATHER RENEE MILLER, LMSW
Title
OWNER
Phone
(810) 666-5033

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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