Individual
MR. EDWARD FIELDS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
36975 UTICA RD, CLINTON TOWNSHIP, MI 48036-1685
(586) 596-2605
Mailing address
36975 UTICA RD STE 104, CLINTON TOWNSHIP, MI 48036-1685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
MI
Enumeration date
12/06/2018
Last updated
12/06/2018
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