| Catharsisonline.net | |
|
21924 Frazer Ave Southfield MI 48075-3853 | |
| (248) 352-3793 | |
| Not Available |
| Full Name | Catharsisonline.net |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21924 Frazer Ave, Southfield, Michigan |
| Authorized Official Name and Position | Kirtis Thomas (PRESIDENT) |
| Authorized Official Contact | 2483523793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catharsisonline.net 21924 Frazer Ave Southfield MI 48075-3853 Ph: (248) 352-3793 | Catharsisonline.net 21924 Frazer Ave Southfield MI 48075-3853 Ph: (248) 352-3793 |
| NPI Number | 1023235991 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023235991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401007619 (Michigan) | Primary |
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