Provider First Line Business Practice Location Address:
120 E WALKER STREET
Provider Second Line Business Practice Location Address:
ST JOHNS COUNSELING & THERAPY SERVICES PC SUITE B
Provider Business Practice Location Address City Name:
ST JOHNS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-227-9000
Provider Business Practice Location Address Fax Number:
989-224-0058
Provider Enumeration Date:
09/13/2006