Individual
MICHELLE STACY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1115
(248) 706-3450
Mailing address
3167 S ADAMS RD, ROCHESTER HILLS, MI 48309-3902
(813) 317-7167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222459
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/14/2018
Last updated
10/14/2024
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