Organization
CARPENTER COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FREDERICK CARPENTER PH.D. (PRESIDENT)
(248) 887-6710
Entity
Organization
Contact information
Practice address
1042 N MILFORD RD, SUITE 206, MILFORD, MI 48381-5107
(248) 887-6710
(248) 887-6830
Mailing address
1042 N MILFORD RD, SUITE 206, MILFORD, MI 48381-5107
(248) 887-6710
(248) 887-6830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301011772
MI
Other
Enumeration date
08/05/2008
Last updated
05/11/2017
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