Individual
MR. MICHAEL JAMES FARRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC SCL LSW
Contact information
Practice address
11800 E 12 MILE RD, EMERGENCY ROOM, WARREN, MI 48093-3472
(586) 573-5872
Mailing address
11800 E 12 MILE RD, EMERGENCY ROOM, WARREN, MI 48093-3472
(586) 573-5872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002292
MI
101YS0200X
School Counselor
195786
MI
104100000X
Social Worker
6802070800
MI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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