Organization
LAKE ORION COUNSELING CENTER
Active
Other names
Lake Orion Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM ROSS PASCIAK PHD, LP (CLINICAL PSYCHOLOGIST)
(248) 807-9894
Entity
Organization
Contact information
Practice address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 595-9969
(248) 814-0361
Mailing address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 595-9969
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015095
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301015095
—
MI
Enumeration date
04/04/2014
Last updated
08/18/2021
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