Organization
DIANE P CUSHING LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE P CUSHING LPC (LICENSED PROFESSIONAL COUNSELOR)
(248) 680-0796
Entity
Organization
Contact information
Practice address
2888 E LONG LAKE RD STE 145, TROY, MI 48085-7010
(248) 680-0796
(248) 689-0626
Mailing address
2888 E LONG LAKE RD STE 145, TROY, MI 48085-7010
(248) 680-0796
(248) 689-0626
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6401005517
MI
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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