Individual
MS. OMEGA C MOSTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26522 VAN DYKE AVE, CENTER LINE, MI 48015-1221
(586) 759-4400
Mailing address
15001 KERCHEVAL AVE STE 384, GROSSE POINTE PARK, MI 48230-1361
(313) 408-9179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401019468
MI
101YP2500X
Professional Counselor
Primary
6401223696
MI
Other
Enumeration date
06/22/2021
Last updated
08/16/2023
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