Individual
AUBURN GLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7701
Mailing address
9889 WHEELER ST, VAN BUREN TWP, MI 48111-1409
(313) 704-4710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118117829
—
MI
Enumeration date
09/27/2020
Last updated
12/06/2022
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