Individual provider · Type 1 NPI

Gretchen Marie Hart, MA, LLP, LPC, CAADC

Professional Counselor · Wixom, MI

NPI number 1164513164 Active

Practice location

29335 Wall St
Wixom, MI 48393-3529

Fax (248) 385-2964

Mailing address

10708 Kenicott Trl
Brighton, MI 48114-9075

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X6301008426 (MI)
Professional Counselor Primary 101YP2500X6401003560 (MI)

Professional Counselor: Definition to come...

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About NPI 1164513164

Gretchen Marie Hart, MA, LLP, LPC, CAADC's National Provider Identifier is 1164513164, issued on Sep 27, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wixom, MI. The record was last updated on May 3, 2022.