Individual
ATEFEH E JENROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP LPC
Contact information
Practice address
200 DIVERSION ST, SUITE 10A, ROCHESTER HILLS, MI 48307-2267
(248) 608-9740
Mailing address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-8190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007329
MI
103T00000X
Psychologist
Primary
6301011082
MI
Other
Enumeration date
11/28/2006
Last updated
01/23/2012
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