| Complete Spectrum Wellness Pllc | |
|
6695 Highland Rd Ste 209 Waterford MI 48327-1968 | |
| (586) 804-7367 | |
| Not Available |
| Full Name | Complete Spectrum Wellness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6695 Highland Rd Ste 209, Waterford, Michigan |
| Authorized Official Name and Position | Jessica Humiston-aman (OWNER) |
| Authorized Official Contact | 5868047367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Spectrum Wellness Pllc Po Box 134 Keego Harbor MI 48320-0134 Ph: (586) 804-7367 | Complete Spectrum Wellness Pllc 6695 Highland Rd Ste 209 Waterford MI 48327-1968 Ph: (586) 804-7367 |
| NPI Number | 1477282234 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477282234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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