Individual
MRS. WHITNEY LEIGH COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 N OLD WOODWARD AVE, SUITE 301, BIRMINGHAM, MI 48009-3881
(248) 752-0509
Mailing address
1134 E 15TH ST, BROOKLYN, NY 11230-4816
(248) 752-0509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801100194
MI
1041C0700X
Clinical Social Worker
094616-01
NY
Other
Enumeration date
10/24/2016
Last updated
05/02/2023
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