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Organization
LANDMARK THERAPY LLC
Active
Organization
LANDMARK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COUNCIL WICKERSHAM LMSW (CLINICAL DIRECTOR)
(248) 931-0016
Entity
Organization
Contact information
Practice address
28330 FRANKLIN RIVER DR, SOUTHFIELD, MI 48034-5479
(810) 875-9186
Mailing address
1848 HUMPHREY AVE, BIRMINGHAM, MI 48009-7153
(810) 875-9186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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