Individual
MRS. JEANETTE HAITAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1025 E MAPLE RD STE B7A, BIRMINGHAM, MI 48009-6462
(248) 672-2130
Mailing address
1025 E MAPLE RD STE B7A, BIRMINGHAM, MI 48009-6462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013835
MI
Other
Enumeration date
06/26/2014
Last updated
07/16/2014
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