Organization
FARMINGTON HILLS COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK COTTER PHD (PRESIDENT OWNER)
(248) 553-0770
Entity
Organization
Contact information
Practice address
32905 W 12 MILE ROAD, SUITE 250, FARMINGTON HILLS, MI 48334-3358
(248) 553-0770
(248) 553-8116
Mailing address
32905 W 12 MILE ROAD, SUITE 250, FARMINGTON HILLS, MI 48334-3358
(248) 553-0770
(248) 553-8116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F33702
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/23/2006
Last updated
10/23/2007
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