| I C W A Counseling | |
|
25447 Plymouth Rd Redford MI 48239-2022 | |
| (313) 424-0769 | |
| Not Available |
| Full Name | I C W A Counseling |
|---|---|
| Speciality | Counselor |
| Location | 25447 Plymouth Rd, Redford, Michigan |
| Authorized Official Name and Position | Diane Curry (OWNER) |
| Authorized Official Contact | 3137434113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I C W A Counseling 11675 Farley Redford MI 48239-2470 Ph: () - | I C W A Counseling 25447 Plymouth Rd Redford MI 48239-2022 Ph: (313) 424-0769 |
| NPI Number | 1477326940 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 9436594942 |
|---|---|
| Medicare Enrollment ID | O20240223002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477326940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Diane M Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801561840 PECOS PAC ID: 0345685855 Enrollment ID: I20240223002600 |
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