Individual
MR. JOSEPH C. SHOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,TLLP,CAC-1
Contact information
Practice address
6548 TOWN CENTER DR, CLARKSTON, MI 48346-4823
(810) 488-0490
Mailing address
1214 BEEMER CT, OXFORD, MI 48371-4802
(810) 488-0490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013045
MI
103T00000X
Psychologist
Primary
6361005620
MI
103TC1900X
Counseling Psychologist
6301013045
MI
Other
Enumeration date
06/26/2006
Last updated
08/08/2022
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