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Ebonne Abdur-Rahman

Counselor, Mental Health in Southfield, MI. Individual provider (NPI-1).

NPI number1467931808
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1467931808
Entity type
Individual (NPI-1)
Name
Ebonne Abdur-Rahman
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2018
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–MIYes
106S00000X Behavior Technician––
101Y00000X Counselor6401012959MI

Practice location

24100 Southfield Rd Ste 204
Southfield, MI 48075-2851

Phone 248-242-5545

Mailing address

24100 Southfield Rd Ste 204
Southfield, MI 48075-2851

Phone 248-242-5545

Other practice locations

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-299-0030

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