| Creative Growth Therapy | |
|
3584 W Outer Dr Detroit MI 48221-1662 | |
| (248) 396-4602 | |
| Not Available |
| Full Name | Creative Growth Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3584 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Jenna I Debryn (OWNER) |
| Authorized Official Contact | 5044071713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Growth Therapy 3584 W Outer Dr Detroit MI 48221-1662 Ph: (248) 396-4602 | Creative Growth Therapy 3584 W Outer Dr Detroit MI 48221-1662 Ph: (248) 396-4602 |
| NPI Number | 1477138253 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477138253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
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