| Doctor Name: | JAMES COUNSELLOR |
| NPI Number: | 1659762110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 6401009538 |
| Business Practice Address: | 5671 N Skeel Ave Oscoda, MI - 487501535 |
| Business Phone Number: | 9897392550 |
| Business Fax Number: | 9893583751 |
| Mailing Address: | 5671 N Skeel Ave, OSCODA |
| State: | MI |
| Postal Code: | 487501535 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2015 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401009538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |