Doctor Name: | MS. KAURA H. AFRICA |
NPI Number: | 1033292396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC |
License Number: | L956941 |
Business Practice Address: | 301 S Crapo St Suite 200 Mt Pleasant, MI - 488582941 |
Business Phone Number: | 9897725938 |
Business Fax Number: | |
Mailing Address: | 4925 Christie Ct, MIDLAND |
State: | MI |
Postal Code: | 486402432 |
Phone Number: | 9898354469 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | L956941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |