Organization
NEW OUTLOOK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA JAMERSO MA LPC (OWNER)
(248) 249-0469
Entity
Organization
Contact information
Practice address
17344 W 12 MILE RD, SUITE 202, SOUTHFIELD, MI 48076-2121
(248) 249-0469
Mailing address
17344 W 12 MILE RD, SUITE 202, SOUTHFIELD, MI 48076-2121
(248) 249-0469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401010656
MI
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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