Organization
PROFESSIONAL OUTREACH COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN F. KING PHD. LP. (OWNER)
(313) 292-7640
Entity
Organization
Contact information
Practice address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(313) 292-7640
(313) 292-9270
Mailing address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(313) 292-7640
(313) 292-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401008900
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801077910
MI
101YM0800X
Mental Health Counselor
6401007447
MI
101YM0800X
Mental Health Counselor
6401009679
MI
101YP2500X
Professional Counselor
6401008194
MI
101YP2500X
Professional Counselor
6401009106
MI
103T00000X
Psychologist
6301009054
MI
103T00000X
Psychologist
Primary
6301009925
MI
103TC0700X
Clinical Psychologist
009925
MI
103TS0200X
School Psychologist
6301010278
MI
104100000X
Social Worker
6801083794
MI
1041C0700X
Clinical Social Worker
6801063516
MI
1041C0700X
Clinical Social Worker
6801064655
MI
122300000X
Dentist
2901019243
MI
Other
Enumeration date
12/19/2006
Last updated
06/16/2014
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