Individual
CHRISTINE NAN CARROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
41740 6 MILE RD STE 103, NORTHVILLE, MI 48168-4383
(734) 542-6969
(734) 542-6967
Mailing address
23565 WESLEY DR, FARMINGTON, MI 48335-3348
(734) 776-5665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010227
MI
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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