Individual
JEFFREY CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
25770 E HURON RIVER DR, FLAT ROCK, MI 48134-1215
(734) 777-3315
Mailing address
25770 E HURON RIVER DR, FLAT ROCK, MI 48134-1215
(734) 777-3315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011036
MI
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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