Organization
INTEGRATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE JACKSON LLPC (OWNER/CEO)
18004994169
Entity
Organization
Contact information
Practice address
19900 E 10 MILE RD, SUITE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 491-2040
Mailing address
19900 E 10 MILE RD, SUITE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 491-2040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010688
MI
Other
Enumeration date
04/15/2008
Last updated
05/21/2010
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