Individual
MRS. SARA ALICE FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
3604 CLARKSTON RD. LAKE ORION COUNSELING CENTER, 3604 CLARKSTON RD., CLARKSTON, MI 48316
(248) 595-9969
(248) 814-0361
Mailing address
53060 RUANN DR, SHELBY TWP, MI 48316-2559
(330) 412-2147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2643616
—
OH
Enumeration date
11/02/2006
Last updated
11/19/2018
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