Individual
MS. JEANNINE ALISE TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, CRC, LLPC
Contact information
Practice address
28303 JOY RD, WESTLAND, MI 48185-5524
(734) 513-1122
(734) 421-1405
Mailing address
710 CHICAGO BLVD, DETROIT, MI 48202-1421
(313) 867-1115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015860
MI
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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