Organization
INTEGRATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE JACKSON-MARBURY M.A., CH.T (OWNER/CEO)
(313) 499-5947
Entity
Organization
Contact information
Practice address
19678 HARPER AVE, SUITE 104, GROSSE POINTE WOODS, MI 48236-1966
(313) 499-5947
Mailing address
23770 JOHNSTON AVE, EASTPOINTE, MI 48021-3420
(313) 499-5947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2007
Last updated
12/09/2007
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