Organization
HALO CHRISTIAN COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMELL JEFFESON MA, LPC (OWNER)
(313) 414-8119
Entity
Organization
Contact information
Practice address
26105 ORCHARD LAKE RD STE 309, FARMINGTON HILLS, MI 48334-4510
(313) 414-8119
Mailing address
26105 ORCHARD LAKE RD STE 309, FARMINGTON HILLS, MI 48334-4510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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