Individual
AMANDA DAWN AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLMFT
Contact information
Practice address
711 E GRAND RIVER AVE STE A, BRIGHTON, MI 48116-2474
(936) 446-9476
Mailing address
27112 GATEWAY DR S APT 106, FARMINGTON HILLS, MI 48334-4954
(936) 446-9476
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151001155
MI
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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