Organization
SOULSTICE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH D WHITTUM MA, LPC (DIRECTOR/THERAPIST)
(734) 368-4571
Entity
Organization
Contact information
Practice address
42187 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 368-4571
Mailing address
38828 GRANDON ST, LIVONIA, MI 48150-3381
(734) 368-4571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/14/2020
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