person
Mr. Ralston Caldwell, LLPC
Professional Counselor in Detroit, Michigan
NPI 1720173222

Ralston Caldwell is a Professional Counselor based in Detroit, MI and is specialized in Professional. Ralston Caldwell practices in Detroit, MI and has the professional credentials of LLPC. The NPI Number for Ralston Caldwell is 1720173222 and holds a License No. 6401008509 (Michigan).

The current practice location address for Ralston Caldwell is 2051 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-961-3700 and via fax at 313-961-3769.

Location: 2051 W Grand Blvd, Detroit, MI, 48208-1105
person
Provider Profile Details
NPI Number
1720173222
Provider Name
Ralston Caldwell
Credential
LLPC
Provider Entity Type
Individual
Gender
Male
Address
2051 W Grand Blvd, Detroit, MI, 48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401008509 01 MI STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2051 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider Business Mailing Address Details
Address
2051 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401008509 (Michigan)
Definition
Definition to come...
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