Individual
MICHELLE LEE MACINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC, MS
Contact information
Practice address
41100 PLYMOUTH RD STE 110, PLYMOUTH, MI 48170-3895
(734) 927-1201
Mailing address
46540 BARTLETT DR, CANTON, MI 48187-1517
(313) 282-0384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024061
MI
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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