Individual
NISHANI JAYAWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
145 ROCHDALE DR S STE F, ROCHESTER HILLS, MI 48309-2275
(248) 608-4514
Mailing address
226 HENDRIE ST, DETROIT, MI 48202-3734
(989) 941-6821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401222279
MI
Other
Enumeration date
09/16/2019
Last updated
06/11/2022
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