Organization
LIFEWORK FAMILY & TRAUMA COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J CLOUTHIER LPC (PRESIDENT)
(248) 283-1107
Entity
Organization
Contact information
Practice address
725 S ADAMS RD, SUITE L 136, BIRMINGHAM, MI 48009-6902
(248) 283-1107
(248) 723-6646
Mailing address
725 S ADAMS RD, SUITE L 136, BIRMINGHAM, MI 48009-6902
(248) 283-1107
(248) 723-6646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401003903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A878123
VALUE OPTIONS
MI
Enumeration date
08/15/2007
Last updated
08/15/2007
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