| State Of Grace Counseling Pllc | |
|
21905 Garrison St Dearborn MI 48124-2303 | |
| (734) 210-0231 | |
| Not Available |
| Full Name | State Of Grace Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 21905 Garrison St, Dearborn, Michigan |
| Authorized Official Name and Position | Jacqueline Kuehn (CLINICAL THERAPIST) |
| Authorized Official Contact | 7342100231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Grace Counseling Pllc 21905 Garrison St Dearborn MI 48124-2303 Ph: (734) 210-0231 | State Of Grace Counseling Pllc 21905 Garrison St Dearborn MI 48124-2303 Ph: (734) 210-0231 |
| NPI Number | 1093301947 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093301947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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