Individual
MS. JUDITH A COX-WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,L.L.P.C.,N.C.C.
Contact information
Practice address
6887 DIXIE HWY STE A, CLARKSTON, MI 48346-5107
(248) 620-1019
(248) 620-1026
Mailing address
1116 CARPENTER DR, PONTIAC, MI 48340-3313
(248) 620-1019
(248) 620-1026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009497
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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