Organization
CLEAR INNERVISION COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA JOVETTE MILLER LMSW (OWNER)
(313) 467-7215
Entity
Organization
Contact information
Practice address
19304 GRAND RIVER AVE, DETROIT, MI 48223-1202
(313) 467-3918
Mailing address
16249 EASTWIND ST, ROMULUS, MI 48174-3180
(313) 467-3918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801070834
MI
Other
Enumeration date
11/01/2017
Last updated
01/22/2018
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