Counseling and Divorce Mediation Services, LLC

NPI #1942726195 in Macomb, Michigan

Provider Information

NPI Number: 1942726195
Entity Type: Organization
Organization Name: Counseling and Divorce Mediation Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 19, 2017
Last Updated: Aug 19, 2017

Practice Location

Address: 17937 HALL RD
City: Macomb
State: Michigan
ZIP Code: 48044-4557
Phone: (586) 707-3331

Authorized Official

Name: FARRAH DABABNEH, LMSW
Title: PSYCHOTHERAPIST
Phone: (248) 709-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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