Individual
EUGENE D MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(313) 879-9960
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(313) 879-9960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451022506
MI
101YP2500X
Professional Counselor
Primary
6451022506
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/18/2020
Last updated
01/31/2023
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