Organization
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE F. COONAN-COX R.N.,M.A.,L.P.C. (CARE COORDINATOR)
(586) 948-0224
Entity
Organization
Contact information
Practice address
46360 GRATIOT AVE, CHESTERFIELD, MI 48051-2800
(586) 948-0224
(586) 948-0213
Mailing address
46360 GRATIOT AVE, CHESTERFIELD, MI 48051-2800
(586) 948-0213
(586) 948-0213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401005800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704063386
REGISTERED NURSE
MI
01
—
6401005800
L.P.C.
MI
Enumeration date
02/21/2007
Last updated
08/22/2020
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