Organization
IMAGINE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GRACIE BROCKERT LLMSW (OWNER)
(586) 460-8830
Entity
Organization
Contact information
Practice address
20601 YALE ST, SAINT CLAIR SHORES, MI 48081-1779
(586) 460-8830
Mailing address
20601 YALE ST, SAINT CLAIR SHORES, MI 48081-1779
(586) 460-8830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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