Organization
INNERESSENCE COUNSELING AND CLINICAL HYPNOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JEAN SIMON LPC, C.HT (OWNER/PROFESSIONAL COUNSELOR)
(248) 827-5583
Entity
Organization
Contact information
Practice address
380 N OLD WOODWARD AVE STE 156, BIRMINGHAM, MI 48009-5307
(248) 827-5583
Mailing address
18465 SOUTH DR APT 173, SOUTHFIELD, MI 48076-1133
(248) 470-9959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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