Individual
LELA STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 W 9 MILE RD, SOUTHFIELD, MI 48075-4808
(248) 802-8003
Mailing address
16000 W 9 MILE RD, SOUTHFIELD, MI 48075-4808
(248) 802-8003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014828
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401014828
MI
101YM0800X
Mental Health Counselor
Primary
6401014828
MI
101YP2500X
Professional Counselor
6401014828
MI
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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