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Stuart Koppela-sutherland, LLC
Counselor in Waterford, Michigan
NPI 1710661822

Stuart Koppela-sutherland is a Counselor based in Waterford, MI. Stuart Koppela-sutherland practices in Waterford, MI and has the professional credentials of LLC. The NPI Number for Stuart Koppela-sutherland is 1710661822 and holds a License No. 6451022847 (Michigan).

The current practice location address for Stuart Koppela-sutherland is 4000 W Walton Blvd, Waterford, MI and can be reached out via phone at 248-461-6266.

Location: 4000 W Walton Blvd, Waterford, MI, 48329-2252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710661822
Provider Name
Stuart Koppela-sutherland
Credential
LLC
Provider Entity Type
Individual
Gender
Male
Address
4000 W Walton Blvd, Waterford, MI, 48329-2252
Phone Number
248-461-6266
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 W Walton Blvd
City
Waterford
State
Michigan
Zip
48329-4191
Phone Number
248-461-6266
Fax Number
person
Provider Business Mailing Address Details
Address
4000 W Walton Blvd
City
Waterford
State
Michigan
Zip
48329-4191
Phone Number
248-461-6266
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6451022847 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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