Individual
MS. LISA TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
6221 BRUSH ST, DETROIT, MI 48202-3209
(313) 874-7014
(313) 874-7015
Mailing address
6221 BRUSH ST, DETROIT, MI 48202-3209
(313) 874-7014
(313) 874-7015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008598
MI
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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