Individual
JULIA PANGBORN-HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5716 MICHIGAN AVE # 3000, DETROIT, MI 48210-3039
(313) 963-2266
(313) 963-2471
Mailing address
1129 BEACONSFIELD AVE APT 2, GROSSE POINTE PARK, MI 48230-2018
(313) 405-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016692
MI
101YP2500X
Professional Counselor
6401016692
MI
Other
Enumeration date
06/17/2018
Last updated
09/21/2018
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