Individual
ALEXIS CHANTEL BRINTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5555
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5555
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022033
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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