Organization
MICHIGAN PSYCHOLOGICAL AND COUNSELING INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M TESNER MBR (CO-OWNER)
(734) 427-0060
Entity
Organization
Contact information
Practice address
31584 SCHOOLCRAFT RD, LIVONIA, MI 48150-1843
(734) 427-0060
(734) 427-0851
Mailing address
31584 SCHOOLCRAFT RD, LIVONIA, MI 48150-1843
(734) 427-0060
(734) 427-0851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401011816
MI
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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