Organization
EMOTIONAL COMFORTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDISON KONAN (MASSAGE THERAPIST)
(734) 720-2097
Entity
Organization
Contact information
Practice address
15450 HEATHERWOOD, SOUTHGATE, MI 48195-8523
(734) 720-2097
Mailing address
15450 HEATHERWOOD, SOUTHGATE, MI 48195-8523
(734) 720-2097
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
102X00000X
Poetry Therapist
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
111N00000X
Chiropractor
—
—
172A00000X
Driver
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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