Alyssa Jesse Therapy, LLC
Social Worker, Clinical in Birmingham, MI. Organization (NPI-2).
NPI number1659057867
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1659057867
- Entity type
- Organization (NPI-2)
- Legal business name
- Alyssa Jesse Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2023
- Certification date
- Jun 16, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
950 E Maple Rd Ste L2Birmingham, MI 48009-6482
Phone 586-580-8135
Mailing address
950 E Maple Rd Ste L2Birmingham, MI 48009-6482
Phone 586-580-8135
Authorized official
Alyssa Jesselaitis
Owner
5865808135
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