Individual
MR. KOURTNEY R PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLC
Contact information
Practice address
1463 BEACONSFIELD AVE APT 2N, GROSSE POINTE PARK, MI 48230-1087
(586) 359-5269
Mailing address
154 HAZELWOOD ST, DETROIT, MI 48202-1714
(313) 319-6608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023263
MI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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