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Alicia Basin, LPC

Counselor, Professional in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1669946992
StatusActive
Last updated in NPPESAug 19, 2019

Details

NPI
1669946992
Entity type
Individual (NPI-1)
Name
Alicia Basin
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 21, 2019
Last updated
Aug 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401017570MIYes
101YP2500X Counselor, Professional6401016985MI

Practice location

32961 Middlebelt Rd
Farmington Hills, MI 48334-1729

Phone 248-855-1540 · Fax 248-855-2481

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Phone 482-620-6400 · Fax 248-620-6405

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