Individual
MRS. DONNA MARIE WIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
700 E BIG BEAVER RD STE D, TROY, MI 48083-1435
(248) 817-6629
(248) 817-6694
Mailing address
700 E BIG BEAVER RD STE D, TROY, MI 48083-1435
(248) 817-6629
(248) 817-6694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011034
MI
Other
Enumeration date
01/09/2013
Last updated
06/12/2023
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