Organization
COUNSELING CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM TRAVIS-EWING (CEO THERAPIST)
(248) 356-8399
Entity
Organization
Contact information
Practice address
29777 TELEGRAPH RD, ONYX PLAZA, SOUTHFIELD, MI 48034
(248) 356-8399
Mailing address
18865 BRETTON DR, DETROIT, MI 48223
(248) 356-8399
(248) 353-2786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801018777
MI
Other
Enumeration date
11/02/2006
Last updated
07/30/2008
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