Organization
CHRISTIAN CARE CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN R MILLER-CLARKSON LPC (CEO)
(734) 854-7061
Entity
Organization
Contact information
Practice address
6530 SECOR RD, LAMBERTVILLE, MI 48144-9456
(734) 854-7061
(734) 854-7061
Mailing address
6530 SECOR RD, LAMBERTVILLE, MI 48144-9456
(734) 854-7061
(734) 854-7061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/04/2007
Last updated
07/05/2017
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