Individual provider · Type 1 NPI

Gloria Cousins

Addiction (Substance Use Disorder) Counselor · Waterford, MI

NPI number 1982874889 Active

Practice location

2520 Elizabeth Lake Rd
Waterford, MI 48328-3312

Fax (248) 706-5046

Mailing address

22900 Remick Dr
Clinton Township, MI 48036-2732

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1-00016 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982874889

Gloria Cousins's National Provider Identifier is 1982874889, issued on Mar 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterford, MI. The record was last updated on Mar 6, 2008.