Individual
PHILIP KRYSINSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 330-0708
Mailing address
4301 ORCHARD LAKE RD STE 180-151, WEST BLOOMFIELD, MI 48323-1604
(586) 330-0702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451022131
MI
101YP2500X
Professional Counselor
Primary
6401224668
MI
Other
Enumeration date
07/27/2022
Last updated
11/08/2024
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