Organization · Type 2 NPI
University Physician Group
Counselor · Detroit, MI
NPI number
1265647481
Active
Practice location
3901 Beaubien St, 4th Flr Carls Bldg
Detroit, MI 48201-2119
Fax (313) 993-0282
Mailing address
1560 E Maple Rd, Ste 400-CREDENTIALING Dept.
Troy, MI 48083-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Clinical Neuropsychologist | 103G00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Social Worker | 104100000X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1265647481
University Physician Group's National Provider Identifier is 1265647481, issued on May 11, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 26, 2016.