Organization
CUBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD T TERLEP LMSW LPC (DIRECTOR)
(586) 218-7532
Entity
Organization
Contact information
Practice address
18245 E 10 MILE RD, SUITE 140, ROSEVILLE, MI 48066-5807
(586) 218-7532
(586) 598-9641
Mailing address
50486 JEFFERSON AVE, NEW BALTIMORE, MI 48047-2327
(586) 883-3877
(586) 598-9641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401006599
MI
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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