Organization
FOUR CORNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARICIA REGENE CARTER (DIRECTOR)
(248) 495-8985
Entity
Organization
Contact information
Practice address
15798 LIVERNOIS AVE, DETROIT, MI 48238
(248) 495-8985
(248) 719-7595
Mailing address
15798 LIVERNOIS AVE, DETROIT, MI 48238
(248) 495-8985
(248) 719-7595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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