| Innovative Counseling Services For Families & Youth Llc | |
|
2048 Washtenaw Rd Uppr Suite Ypsilanti MI 48197-1889 | |
| (734) 748-0950 | |
| Not Available |
| Full Name | Innovative Counseling Services For Families & Youth Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2048 Washtenaw Rd Uppr Suite, Ypsilanti, Michigan |
| Authorized Official Name and Position | Karen S Zokas (LMSW) |
| Authorized Official Contact | 7347480950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Counseling Services For Families & Youth Llc 8963 Northampton Dr Plymouth MI 48170-3339 Ph: (734) 748-0950 | Innovative Counseling Services For Families & Youth Llc 2048 Washtenaw Rd Uppr Suite Ypsilanti MI 48197-1889 Ph: (734) 748-0950 |
| NPI Number | 1679817480 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679817480 | NPI | - | NPPES |
| 0898552 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086356 (Michigan) | Primary |
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