Organization
COMPLEX DYNAMICS INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WATHEN (OWNER)
(989) 397-2256
Entity
Organization
Contact information
Practice address
13502 LENORE, REDFORD, MI 48239-2611
(989) 397-2256
Mailing address
13502 LENORE, REDFORD, MI 48239-2611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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