Graduated: 2021
NPI: 1003483215
Practice Locations (2)
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
6221 KING RD
MARINE CITY, MI 480391428
8107655010
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
3111 ELECTRIC AVE
PORT HURON, MI 480608127
8109858900
Source: CMS National Downloadable File, September 2026.