Organization
CLINTON COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY OLDHAM (EXECUTIVE DIRECTOR)
(586) 463-7079
Entity
Organization
Contact information
Practice address
2 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2528
(586) 468-3021
Mailing address
2 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L1610877
MI
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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