Organization
GUIDING INDEPENDENCE COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA YOUNG (DIRECTOR/ COUNSELOR)
(313) 334-9216
Entity
Organization
Contact information
Practice address
39111 6 MILE RD, LIVONIA, MI 48152-3926
(877) 325-3079
Mailing address
39111 6 MILE RD, LIVONIA, MI 48152-3926
(877) 325-3079
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6401014398
MI
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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