GLORIA COUSINS

WATERFORD, MI
NPI1982874889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  1-00016)
Enumeration Date2008-03-06
Last Update Date2008-03-06
Business Address
Mrs. GLORIA COUSINS
2520 ELIZABETH LAKE RD
WATERFORD, MI 48328-3312
Phone number: 248-706-5041
Mailing Address
Mrs. GLORIA COUSINS
22900 REMICK DR
CLINTON TOWNSHIP, MI 48036-2732
Phone number: 586-783-4802