Individual
MR. BERNARD IKE ONWUEMELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CAADC
Contact information
Practice address
20291 TRINITY ST, DETROIT, MI 48219-1351
(313) 753-2292
(313) 532-4608
Mailing address
20291 TRINITY ST, DETROIT, MI 48219-1351
(313) 753-2292
(313) 532-4608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801084613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0-89-8408-0
BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN
MI
Enumeration date
12/26/2008
Last updated
04/19/2014
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