Organization
ADVANCED COUNSELING AND OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA PRATT LPC, CRC (COUNSELOR)
(313) 283-1639
Entity
Organization
Contact information
Practice address
9513 ROLAN MEADOWS LANE, BELLEVILLE, MI 48111
(313) 283-1639
Mailing address
9513 ROLAN MEADOWS LANE, BELLEVILLE, MI 48111
(313) 283-1639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007457
MI
Other
Enumeration date
07/24/2017
Last updated
07/05/2019
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