Organization · Type 2 NPI
The Source Counseling, Case Management and Consultation
Professional Counselor · Southfield, MI
NPI number
1437640687
Active
Practice location
29277 Southfield Rd Ste C
Southfield, MI 48076-1922
Mailing address
18007 Juliana Ave
Eastpointe, MI 48021-3205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401013761 (MI) |
Professional Counselor: Definition to come...
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About NPI 1437640687
The Source Counseling, Case Management and Consultation's National Provider Identifier is 1437640687, issued on May 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southfield, MI. The record was last updated on May 23, 2018.