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Individual

JENNA DEBRYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, ATR

Contact information

Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Mailing address
3584 W OUTER DR, DETROIT, MI 48221-1662
(248) 396-4602

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019091
MI
221700000X
Art Therapist
20-417
MI

Other

Enumeration date
09/11/2018
Last updated
03/12/2021
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