State Of Grace Counseling Pllc | |
21905 Garrison St Dearborn MI 48124-2303 | |
(734) 210-0231 | |
Not Available |
Full Name | State Of Grace Counseling Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 21905 Garrison St, Dearborn, Michigan |
Authorized Official Name and Position | Jacqueline Kuehn (CLINICAL THERAPIST) |
Authorized Official Contact | 7342100231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State Of Grace Counseling Pllc 21905 Garrison St Dearborn MI 48124-2303 Ph: (734) 210-0231 | State Of Grace Counseling Pllc 21905 Garrison St Dearborn MI 48124-2303 Ph: (734) 210-0231 |
NPI Number | 1093301947 |
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Provider Enumeration Date | 12/15/2020 |
Last Update Date | 09/09/2021 |
Certification Date | 09/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093301947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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