| Doctor Name: | MS. BERNADETTE GEORGE |
| NPI Number: | 1306018841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC |
| License Number: | 6401009030 |
| Business Practice Address: | 29150 Carlysle St Suite 135, Box 3 Inkster, MI - 481412868 |
| Business Phone Number: | 7347216008 |
| Business Fax Number: | 7344675719 |
| Mailing Address: | 23727 W Chicago, REDFORD |
| State: | MI |
| Postal Code: | 482391338 |
| Phone Number: | 3135337708 |
| Fax Number: | 3135337708 |
| NPI Enumeration Date: | 03/25/2008 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401009030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |