Jearald Dudley II
Counselor in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1851908636
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1851908636
- Entity type
- Individual (NPI-1)
- Name
- Jearald Dudley II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
47 Carriage WayYpsilanti, MI 48197-7430
Phone 734-757-0308
Mailing address
47 Carriage WayYpsilanti, MI 48197-7430
Phone 734-757-0308
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