Organization
MACOMB THERAPY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE KOSMAS MA, LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(586) 333-5328
Entity
Organization
Contact information
Practice address
42815 GARFIELD RD STE 201, CLINTON TOWNSHIP, MI 48038-1143
(586) 333-5328
(586) 948-9304
Mailing address
42815 GARFIELD RD STE 201, CLINTON TOWNSHIP, MI 48038-1143
(586) 333-5328
(586) 948-9304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010333
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/08/2016
Last updated
06/21/2021
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