Organization
ALEX E. COSTINEW PH.D.,P.C.
Active
Other names
Counseling and Development Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX E COSTINEW PH.D. (OWNER AND DIRECTOR)
(810) 588-9204
Entity
Organization
Contact information
Practice address
38345 W 10 MILE RD, STE 150-A, FARMINGTON HILLS, MI 48335-2867
(810) 588-9204
(248) 987-2824
Mailing address
38345 W 10 MILE RD, STE 150-A, FARMINGTON HILLS, MI 48335-2867
(810) 588-9204
(248) 987-2824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401006534
MI
103T00000X
Psychologist
Primary
6301002052
MI
1041C0700X
Clinical Social Worker
6801017579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34734
BCBS OF MI PIN
MI
Enumeration date
08/20/2006
Last updated
10/04/2010
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