Individual
MS. TINA MARIE PERSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC CACII
Contact information
Practice address
52188 VANDYKE, STE 320, SHELBY TWP, MI 48316
(286) 254-7774
(586) 254-7766
Mailing address
52188 VANDYKE, STE 320, SHELBY TWP, MI 48316
(286) 254-7774
(586) 254-7766
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401000816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7969655
AETNA
MI
Enumeration date
10/16/2006
Last updated
07/08/2007
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