Healthcare Provider Details
I. General information
NPI: 1710742994
Provider Name (Legal Business Name): BJS COUNSELING & CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10665 E C AVE
RICHLAND MI
49083-8572
US
IV. Provider business mailing address
10665 E C AVE
RICHLAND MI
49083-8572
US
V. Phone/Fax
- Phone: 269-213-5253
- Fax:
- Phone: 269-213-5253
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BOBBI
J
STONER
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 236-213-5253