Individual
MIA R REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, LLC
Contact information
Practice address
23332 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3280
(248) 954-9988
Mailing address
23332 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3280
(248) 954-9988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015836
MI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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