Individual
JANNISE NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
(248) 733-5142
Mailing address
22750 WOODWARD AVE STE 208, FERNDALE, MI 48220-1753
(248) 733-5142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013995
MI
Other
Enumeration date
06/14/2014
Last updated
01/28/2019
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