Organization · Type 2 NPI

12th Avenue Services LLC

Mental Health Counselor · Clarkston, MI

NPI number 1023879186 Active

Practice location

5541 Warbler Dr
Clarkston, MI 48346-2965

Call (248) 795-5253 Map

Fax (248) 928-5350

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023879186

12th Avenue Services LLC's National Provider Identifier is 1023879186, issued on Jan 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarkston, MI. The record was last updated on Jan 17, 2024.