Organization
BLOOMFIELD CHILD & FAMILY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE CORTEZ LMSW (CLINICAL SOCIAL WORKER)
(248) 457-5178
Entity
Organization
Contact information
Practice address
3290 W BIG BEAVER RD STE 230, TROY, MI 48084-2903
(248) 238-8702
Mailing address
7451 WELLBOURNE CT, BLOOMFIELD HILLS, MI 48301-3766
(517) 256-0896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/11/2024
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