Organization
HOPENETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MCCLEONDON (CLINICAL HOME MANAGER)
(912) 308-0225
Entity
Organization
Contact information
Practice address
45964 BRENTWOOD ST, MACOMB, MI 48042-5410
(586) 948-0665
(586) 948-0667
Mailing address
45964 BRENTWOOD ST, MACOMB, MI 48042-5410
(586) 948-0665
(586) 948-0667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801091483
MI
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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