Impact
Impact is a Counselor in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
1001 Military StPort Huron, MI 48060-5416
Phone: (810) 985-5168
Fax: (800) 248-1568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 6801093360 (MI) |
|---|
Record details
| NPI number | 1407130578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Gamble — Clinical Director · (810) 985-5168 |
| Other names | Chr |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 6, 2011 |
| Mailing address | 1001 Military St, Port Huron, MI 48060-5416 |
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