| Michelle Dutcher Ma, Lpc, Pllc | |
|
8040 Ortonville Rd Ste A Clarkston MI 48348-4468 | |
| (248) 444-3374 | |
| Not Available |
| Full Name | Michelle Dutcher Ma, Lpc, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8040 Ortonville Rd Ste A, Clarkston, Michigan |
| Authorized Official Name and Position | Michelle Dutcher (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2484443374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dutcher Ma, Lpc, Pllc 7325 Ingomar Ln Clarkston MI 48348-5402 Ph: (248) 444-3374 | Michelle Dutcher Ma, Lpc, Pllc 8040 Ortonville Rd Ste A Clarkston MI 48348-4468 Ph: (248) 444-3374 |
| NPI Number | 1912516048 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912516048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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