Individual
DANA M AGRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16651 21 MILE RD, MACOMB, MI 48044-2603
(248) 520-2657
Mailing address
47205 FREEDOM VALLEY DR, MACOMB, MI 48044-2561
(248) 520-2657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
101YP2500X
Professional Counselor
—
MI
Other
Enumeration date
06/04/2013
Last updated
04/07/2022
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