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Organization

VOYAGE COUNSELING CENTER P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY A COSTINEW PHD (ADMINISTRATIVE DIRECTOR)
(248) 478-0422
Entity
Organization

Contact information

Practice address
38345 W 10 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48335-2867
(248) 478-0422
(248) 478-0435
Mailing address
38345 W 10 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48335-2867
(248) 478-0422
(248) 478-0435

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
296169
VALUE OPTIONS
MI
Enumeration date
08/18/2006
Last updated
07/17/2007
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