Individual
MICHAEL WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.M., M.A., CSAT-C
Contact information
Practice address
11111 HALL RD, SUITE 300, UTICA, MI 48317-5711
(586) 997-3153
Mailing address
20505 MILBURN ST, LIVONIA, MI 48152-1619
(586) 215-9564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014327
MI
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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