Organization
ANGEL COUNSELING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIAWANNA MONNETTE PETERSON-ROCHON LMSW,CAAC (PRESIDENT AND CEO)
(313) 533-5652
Entity
Organization
Contact information
Practice address
26847 GRAND RIVER AVE, REDFORD, MI 48240-1544
(313) 533-5652
(313) 533-5644
Mailing address
26847 GRAND RIVER AVE, REDFORD, MI 48240-1544
(313) 533-5652
(313) 533-5644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801083169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0896890
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/07/2007
Last updated
02/13/2009
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