Blake Mico, LPC

NPI 1932561065 · on the registry since 2016

Practice

Address: 16645 15 Mile Rd Ste B
Clinton Township, MI 48035
Phone: (586) 213-5505
Organisation at this address: Lauren Lietaert Llc
All Things Possible Wellness Center, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Counselor
101Y00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan