Individual
CARRIE HARVEY-GROSSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010448
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00260F7
HEALTH ALLIANCE PLAN
MI
05
—
032919
—
MI
01
—
750910776
BCMI
MI
01
—
XX19153
HEALTHPLUS OF MICHIGAN
MI
Enumeration date
01/17/2012
Last updated
01/17/2012
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