| Integrative Counseling Services Llc | |
|
19900 E 10 Mile Rd Suite 102 Saint Clair Shores MI 48080-4412 | |
| (586) 491-2040 | |
| Not Available |
| Full Name | Integrative Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 19900 E 10 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Brenda Lee Jackson (OWNER/CEO) |
| Authorized Official Contact | 18004994169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Services Llc 19900 E 10 Mile Rd Suite 102 Saint Clair Shores MI 48080-4412 Ph: (586) 491-2040 | Integrative Counseling Services Llc 19900 E 10 Mile Rd Suite 102 Saint Clair Shores MI 48080-4412 Ph: (586) 491-2040 |
| NPI Number | 1598939274 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 05/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598939274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401010688 (Michigan) | Primary |
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