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Organization
MICHIGAN INSTITUTE OF BEHAVIORAL HEALTH
Active
Organization
MICHIGAN INSTITUTE OF BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA TESNER LLPC (CLINICAL SUPERVISOR/LPC/OWNER)
(734) 658-8088
Entity
Organization
Contact information
Practice address
37630 COLONIAL DR, WESTLAND, MI 48185-7596
(734) 658-8088
Mailing address
37630 COLONIAL DR, WESTLAND, MI 48185-7596
(734) 658-8088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011816
MI
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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