Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1396585840 |
| LBN Legal business name | REAL LIFE COUNSELING OF NORTHERN MICHIGAN |
| Authorized official | JAKE TRACY - (COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/30/2024 |
| Last updated | 11/24/2025 - About 6 months ago |
| Identifiers | n/a |
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