Organization
DESJARDINS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN DESJARDINS LMSW (CLINICAL SOCIAL WORKER)
(248) 890-3047
Entity
Organization
Contact information
Practice address
3190 ROCHESTER RD STE 102, TROY, MI 48083-5464
(248) 890-3047
Mailing address
575 E BIG BEAVER RD STE 260, TROY, MI 48083-1362
(248) 890-3047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467836320
NPPES
—
Enumeration date
07/10/2017
Last updated
07/10/2017
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