Individual
MICHAEL JOSEPH MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLP,CAC,CCS,CCJP
Contact information
Practice address
27730 GRATIOT AVE STE 202, ROSEVILLE, MI 48066-4885
(586) 772-5101
(586) 772-5102
Mailing address
27700 GRATIOT AVE STE 202, ROSEVILLE, MI 48066-4880
(586) 772-5101
(586) 772-5102
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301012109
MI
103TC1900X
Counseling Psychologist
Primary
6361001321
MI
Other
Enumeration date
11/11/2008
Last updated
03/31/2023
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