Organization
JC FOUNDATIONS VIOLET FLAME ENLIGHTENMENT AND HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COTTRELL MA LPC (OWNER)
(313) 695-4201
Entity
Organization
Contact information
Practice address
25915 HARPER AVE STE A, SAINT CLAIR SHORES, MI 48081-3770
(313) 695-4201
Mailing address
25915 HARPER AVE STE A, SAINT CLAIR SHORES, MI 48081-3770
(313) 695-4201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
02/14/2025
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