Individual
MS. DIANE P CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2888 E LONG LAKE RD, SUITE 145, TROY, MI 48085
(248) 680-0796
(248) 680-0431
Mailing address
2888 E LONG LAKE RD, SUITE 145, TROY, MI 48085
(248) 680-0796
(248) 680-0431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005517
MI
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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