Individual
BRENDA NAHIELY REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 727-3456
(242) 557-4697
Mailing address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 727-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
10/20/2022
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