Individual provider · Type 1 NPI

Mina Song

Mental Health Counselor · Clarkston, MI

NPI number 1861228629 Active

Practice location

5980 S Main St Ste 101
Clarkston, MI 48346-2377

Mailing address

8020 Saint Paul St
Detroit, MI 48214-2608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401226692 (MI)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1861228629

Mina Song's National Provider Identifier is 1861228629, issued on Sep 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarkston, MI. The record was last updated on Oct 9, 2026.