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Ziyah Enae Dock, LPC

Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1164055885
StatusActive
Last updated in NPPESFeb 20, 2020

Details

NPI
1164055885
Entity type
Individual (NPI-1)
Name
Ziyah Enae Dock
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2020
Certification date
Feb 20, 2020
Last updated
Feb 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401006640MIYes

Practice location

300 68th St Se
Grand Rapids, MI 49548-6927

Phone 616-831-2611

Mailing address

300 68th St Se
Grand Rapids, MI 49548-6927

Phone 616-831-2611

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