Individual
ALICIA BONAHOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
202 LAKEVIEW AVE, GROSSE POINTE FARMS, MI 48236-2907
(313) 909-2363
Mailing address
620 N OLD WOODWARD AVE, SUITE 201, BIRMINGHAM, MI 48009-3855
(313) 909-2363
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6301011059
MI
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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