Organization
CATHARSIS LLC
Active
Other names
catharsisonline.net
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRTIS THOMAS III LPC (PRESIDENT)
(248) 352-3793
Entity
Organization
Contact information
Practice address
21924 FRAZER AVE, SOUTHFIELD, MI 48075-3853
(248) 352-3793
Mailing address
21924 FRAZER AVE, SOUTHFIELD, MI 48075-3853
(248) 352-3793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007619
MI
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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