Organization · Type 2 NPI

Repairer of the Breach Counseling and Consultant Services, LLC

Mental Health Counselor · Detroit, MI

NPI number 1922571041 Active

Practice location

319 Chandler St
Detroit, MI 48202-2857

Call (313) 451-4239 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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About NPI 1922571041

Repairer of the Breach Counseling and Consultant Services, LLC's National Provider Identifier is 1922571041, issued on Jan 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Jan 12, 2023.