Individual
MRS. CASSANDRA MARIE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, LLPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YM0800X
Mental Health Counselor
6401013282
MI
103TC1900X
Counseling Psychologist
Primary
6301014535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401013282
LPC, LLP
MI
Enumeration date
01/14/2009
Last updated
11/29/2021
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