Organization
MINDFULLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE MARIE VAZZANO PHD, LP (CLINICAL DIRECTOR, OWNER)
(248) 686-0346
Entity
Organization
Contact information
Practice address
1750 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302-0177
(248) 686-0346
(248) 686-0346
Mailing address
1750 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302-0177
(248) 686-0346
(248) 686-0346
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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