Individual
MR. MICHAEL ANTHONY DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
8623 N WAYNE RD, SUITE 123, WESTLAND, MI 48185-1137
(734) 367-0469
Mailing address
8623 N WAYNE RD, SUITE 123, WESTLAND, MI 48185-1137
(734) 367-0469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010517
MI
Other
Enumeration date
08/10/2006
Last updated
04/08/2016
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