Individual
WAFA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2723 SARNIA ST SW, WYOMING, MI 49519-6308
(616) 589-1625
Mailing address
2723 SARNIA ST SW, WYOMING, MI 49519-6308
(616) 589-1625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
MI
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CV0018047
CASE MANAGEMENT
MI
05
—
CV0018047
—
MI
Enumeration date
03/04/2019
Last updated
03/06/2019
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