Organization · NPI-2

1 On 1 Professional Counseling Service PLLC

Counselor, Professional · Detroit, MI

NPI number1851740732
StatusActive
Last updated in NPPESJun 10, 2016

Details

NPI
1851740732
Entity type
Organization (NPI-2)
Legal business name
1 On 1 Professional Counseling Service PLLC
Organization subpart
No
Enumeration date
Jun 10, 2016
Last updated
Jun 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401011643MIYes

Practice location

8965 Griggs St
Detroit, MI 48204-2643

Phone 313-909-7080

Mailing address

8965 Griggs St
Detroit, MI 48204-2643

Phone 313-909-7080

Authorized official

Gwendolyn Hayes
Ma, Lpc, Ncc
3139097080

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