Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | C-01837 | MI |
Y | 101YP2500X | Professional Counselor | 6401001985 | MI |
N | 101YS0200X | School Counselor | SC0000595 | MI |
NPI | 1093034548 |
---|---|
Provider Name | Ms. Connie Lorraine Akins |
First Address | Bloomfield Hills, MI 48301-3827 |
Second Address | Bloomfield Hills, MI 48301-3827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 09/02/2011 |