NPI: 1407487168 · CHARLOTTE, MI 48813 · Mental Health Counselor · NPI assigned 01/31/2020
| Authorized Official | CEDERSTROM, JENNY (CFO) |
| NPI Enumeration Date | 01/31/2020 |
Other providers sharing the same authorized official: CEDERSTROM, JENNY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 56 | $7K |