| Kent Darcie, Llc | |
|
21619 E 9 Mile Rd Saint Clair Shores MI 48080-1811 | |
| (586) 215-3671 | |
| Not Available |
| Full Name | Kent Darcie, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 21619 E 9 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Kent Darcie (OWNER) |
| Authorized Official Contact | 5862153671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Darcie, Llc 21619 E 9 Mile Rd Saint Clair Shores MI 48080-1811 Ph: (586) 215-3671 | Kent Darcie, Llc 21619 E 9 Mile Rd Saint Clair Shores MI 48080-1811 Ph: (586) 215-3671 |
| NPI Number | 1912655903 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912655903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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