Individual
MS. LAUREL J. BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
11111 HALL RD STE 303, UTICA, MI 48317-5726
(586) 997-3153
(586) 997-4956
Mailing address
20418 LICHFIELD RD, DETROIT, MI 48221-1332
(734) 516-8006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013733
MI
101YM0800X
Mental Health Counselor
6401013733
MI
101YP2500X
Professional Counselor
Primary
6401013733
MI
Other
Enumeration date
07/10/2013
Last updated
03/30/2022
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