Power Soarce Llc | |
3869 Terrybrook Rd West Bloomfield MI 48322-1737 | |
(248) 932-3935 | |
Not Available |
Full Name | Power Soarce Llc |
---|---|
Speciality | Counselor - Professional |
Location | 3869 Terrybrook Rd, West Bloomfield, Michigan |
Authorized Official Name and Position | Lynn M Jackson (LPC) |
Authorized Official Contact | 2489323935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Power Soarce Llc 3869 Terrybrook Rd West Bloomfield MI 48322-1737 Ph: (248) 932-3935 | Power Soarce Llc 3869 Terrybrook Rd West Bloomfield MI 48322-1737 Ph: (248) 932-3935 |
NPI Number | 1952986176 |
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Provider Enumeration Date | 03/10/2021 |
Last Update Date | 03/11/2021 |
Certification Date | 03/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952986176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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