Ibrahim Elias Atallah, LPC
Counselor, Professional in Livonia, MI. Individual provider (NPI-1).
NPI number1871610576
StatusActive
Last updated in NPPESMar 19, 2015
Details
- NPI
- 1871610576
- Entity type
- Individual (NPI-1)
- Name
- Ibrahim Elias Atallah
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2007
- Last updated
- Mar 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401006157 | MI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | C-00165 | MI | |
| 101YS0200X | Counselor, School | SC0000380 | MI |
Practice location
37677 Professional Center DrLivonia, MI 48154-1192
Phone 248-636-2281
Mailing address
37677 Professional Center DrLivonia, MI 48154-1192
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