Individual
MS. AMIRA DOUCETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LLP
Contact information
Practice address
6421 ALDEN DR, ORCHARD LAKE, MI 48324-2003
(248) 933-9329
(248) 624-7901
Mailing address
6421 ALDEN DR, ORCHARD LAKE, MI 48324-2003
(248) 933-9329
(248) 624-7901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007666
MI
103T00000X
Psychologist
6301011404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P108916200
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/09/2007
Last updated
03/11/2024
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