Cecil, Connie Jeanne
Cecil, Connie Jeanne is an individual health care provider with primary practice located at 25401 Harper Ave , Saint Clair Shores MI 48081-2240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cecil, Connie Jeanne can be contacted via phone (586) 466-6612.Contact Information
Primary practice address
25401 Harper Ave
Saint Clair Shores MI 48081-2240
Phone: (586) 466-6612
Fax: (586) 466-6961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6301011985 | Michigan |
Profile Details
| NPI number | 1154447670 |
|---|---|
| LBN Legal business name | Cecil, Connie Jeanne |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154447670 | NPPES |
| Michigan | Other | 6301011985 | SOCIAL WORK LICENSE |
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