Individual
ASHLEY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 977-9550
(313) 255-3465
Mailing address
14361 FAUST AVE, DETROIT, MI 48223-3543
(313) 587-0097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017128
MI
Other
Enumeration date
02/15/2019
Last updated
10/29/2019
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