Individual
BRIAN MICHAEL FERMOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW, LLPC
Contact information
Practice address
301 S CRAPO ST, SUITE 200, MT PLEASANT, MI 48858-2941
(989) 772-5938
(989) 775-7701
Mailing address
7290 BELLEVUE DR, MT PLEASANT, MI 48858-8908
(989) 775-6784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010580
MI
1041C0700X
Clinical Social Worker
6802046755
MI
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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