Individual
JADA NICOLE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20255 MARX ST, DETROIT, MI 48203-1343
(313) 451-0131
Mailing address
20255 MARX ST, DETROIT, MI 48203-1343
(313) 451-0131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401225660
MI
Other
Enumeration date
02/20/2020
Last updated
10/17/2025
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