Organization
COMPLETE SPECTRUM WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUMISTON-AMAN (OWNER)
(586) 804-7367
Entity
Organization
Contact information
Practice address
6695 HIGHLAND RD STE 209, WATERFORD, MI 48327-1968
(586) 804-7367
Mailing address
PO BOX 134, KEEGO HARBOR, MI 48320-0134
(586) 804-7367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
09/21/2022
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