Clear Reflections Psychotherapy PLLC
Psychologist in Brooklyn, MI. Organization (NPI-2).
NPI number1164057436
StatusActive
Last updated in NPPESMar 7, 2020
Details
- NPI
- 1164057436
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Reflections Psychotherapy PLLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2020
- Certification date
- Mar 7, 2020
- Last updated
- Mar 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Other names
- Clear Reflections (Former Legal Business Name)
Practice location
225 S Main St Ste CBrooklyn, MI 49230-9158
Phone 517-414-0065
Mailing address
124 Nicole DrBrooklyn, MI 49230-9379
Phone 517-414-0065
Authorized official
Traci Breniser Wilson
Psychotherapist
5174140065
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