Organization
CLC BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY CAMPANALE MA, LLP (OWNER/THERAPIST)
(248) 671-4383
Entity
Organization
Contact information
Practice address
370 E MAPLE RD, BIRMINGHAM, MI 48009-6303
(248) 671-4383
Mailing address
3508 ERIE DR, ORCHARD LAKE, MI 48324-1522
(248) 671-4383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/30/2025
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