Individual
MRS. LARA BATAYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
(313) 893-0064
Mailing address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
(313) 893-0064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451019776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
10/28/2021
Last updated
09/20/2023
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