| Liscensed Professional Counselors | |
|
2799 W Grand Blvd Detroit MI 48202-2608 | |
| (313) 916-2600 | |
| (248) 641-4046 |
| Full Name | Liscensed Professional Counselors |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR-PROVIDER AFFAIRS) |
| Authorized Official Contact | 3138744806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liscensed Professional Counselors 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Liscensed Professional Counselors 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
| NPI Number | 1174050827 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174050827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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