Individual
CARLOS F WINDOM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
20901 MOROSS RD, DETROIT, MI 48236-2058
(313) 626-2600
(313) 626-2605
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(313) 228-0283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016370
MI
Other
Enumeration date
06/04/2019
Last updated
09/11/2025
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