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Organization
OPEN DOOR COUNSELING CENTER
Active
Organization
OPEN DOOR COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL S AGNEW LMFT (OWNER)
(586) 203-2715
Entity
Organization
Contact information
Practice address
42627 GARFIELD RD STE 217, CLINTON TOWNSHIP, MI 48038-5032
(248) 210-5018
Mailing address
42627 GARFIELD RD STE 217, CLINTON TOWNSHIP, MI 48038-5032
(248) 210-5018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401013449
MI
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
6801089393
MI
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
4101006139
MI
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VS0041365
—
MI
Enumeration date
03/21/2018
Last updated
09/07/2022
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