Individual
SHAUNI STALIS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2200 GENOA BUSINESS PARK DR STE 100, BRIGHTON, MI 48114-5328
(810) 449-7180
(248) 692-4936
Mailing address
1100 TORREY RD STE 100, FENTON, MI 48430-3327
(810) 494-7180
(248) 692-4936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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