Organization
INNER WISDOM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL CONNELL PHD (PRESIDENT)
(248) 348-1270
Entity
Organization
Contact information
Practice address
224 S MAIN ST, NORTHVILLE, MI 48167-1645
(248) 348-1270
(248) 347-3393
Mailing address
224 S MAIN ST, NORTHVILLE, MI 48167-1645
(248) 348-1270
(248) 347-3393
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301005242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649210931
INDIVDUAL NPI
MI
Enumeration date
01/04/2009
Last updated
01/04/2009
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