Individual
MRS. BEVERLY D GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,SCL,NCC
Contact information
Practice address
351 PINECLIFF CT, WATERFORD, MI 48327-1794
(248) 301-9403
Mailing address
351 PINECLIFF CT, WATERFORD, MI 48327-1794
(248) 884-1728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008473
MI
101YP2500X
Professional Counselor
6401008473
MI
Other
Enumeration date
05/15/2023
Last updated
06/26/2023
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