Organization
RADIANT COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENEVE BLEVINS M.A. L.P.C. (PSYCHOTHERAPIST)
(586) 354-3127
Entity
Organization
Contact information
Practice address
15869 SPUR DR, MACOMB, MI 48042-2214
(586) 354-3127
Mailing address
15869 SPUR DR, MACOMB, MI 48042-2214
(586) 354-3127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401013058
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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