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Organization
LIST PSYCHOLOGICAL SERVICES, PLC
Active
Organization
LIST PSYCHOLOGICAL SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DIANE LIST-HOUSER (CEO)
(989) 672-6160
Entity
Organization
Contact information
Practice address
4800 S SAGINAW ST STE 1900, FLINT, MI 48507-2677
(810) 667-4500
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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