Individual
YAAKOV Y POLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LLPC
Contact information
Practice address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 727-3456
Mailing address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 200-9892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016245
MI
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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