Individual
JEANINE CONTRYELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17328 OHIO ST, DETROIT, MI 48221-2575
(313) 443-6322
(313) 450-4040
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 443-6322
(313) 450-4040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014414
MI
Other
Enumeration date
12/04/2014
Last updated
12/05/2014
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