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Organization

ACCESS CHRISTIAN COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES EARNEST CAPICCHIONI PSY.D., L.L.P. (DIRECTOR)
(248) 355-4300
Entity
Organization

Contact information

Practice address
29260 FRANKLIN RD, SUITE 121, SOUTHFIELD, MI 48034-1161
(248) 355-4300
(248) 355-4393
Mailing address
29260 FRANKLIN RD, SUITE 121, SOUTHFIELD, MI 48034-1161
(248) 355-4300
(248) 355-4393

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012712
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6301010435
MI

Other

Enumeration date
01/10/2007
Last updated
12/01/2010
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