Organization
AGRUSA COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M AGRUSA-WITTBRODT LPC (OWNER/THERAPIST)
(248) 520-2657
Entity
Organization
Contact information
Practice address
16651 21 MILE RD, MACOMB, MI 48044-2603
(810) 412-8122
Mailing address
47205 FREEDOM VALLEY DR, MACOMB, MI 48044-2561
(248) 520-2657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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