Organization · Type 2 NPI
Chance To Change Supportive Services of Michigan Inc
Mental Health Counselor · Detroit, MI
NPI number
1417875360
Active
Practice location
2751 E Jefferson Ave # 400
Detroit, MI 48207-4105
Mailing address
18980 Harbor Side Blvd
Montgomery, TX 77356-3224
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 1417875360
Chance To Change Supportive Services of Michigan Inc's National Provider Identifier is 1417875360, issued on Jul 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2026.