Organization
CREATIVE GROWTH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA I DEBRYN MA, LPC, ATR (OWNER)
(504) 407-1713
Entity
Organization
Contact information
Practice address
3584 W OUTER DR, DETROIT, MI 48221-1662
(248) 396-4602
Mailing address
3584 W OUTER DR, DETROIT, MI 48221-1662
(248) 396-4602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
03/13/2021
Last updated
09/17/2021
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