Individual provider · Type 1 NPI

Blake Mico, LPC

Counselor · Clinton Township, MI

NPI number 1932561065 Active

Practice location

16645 15 Mile Rd Ste B
Clinton Township, MI 48035-2206

Call (586) 213-5505 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401015338 (MI)

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 1932561065

Blake Mico, LPC's National Provider Identifier is 1932561065, issued on Mar 28, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clinton Township, MI. The record was last updated on May 25, 2021.