Organization · Type 2 NPI
Four Corners
Mental Health Counselor · Detroit, MI
NPI number
1124438320
Active
Practice location
15798 Livernois Ave
Detroit, MI 48238
Fax (248) 719-7595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124438320
Four Corners's National Provider Identifier is 1124438320, issued on Apr 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Apr 28, 2014.