Individual
CHRISTINA DEDVUKAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23133 ORCHARD LAKE RD STE 203, FARMINGTON, MI 48336-3279
(248) 381-4091
Mailing address
26158 MEADOWVIEW DR, FARMINGTON HILLS, MI 48331-4134
(248) 860-5164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401012065
MI
101YP2500X
Professional Counselor
Primary
6401012065
MI
Other
Enumeration date
05/06/2013
Last updated
07/21/2022
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