Individual
JULIE WEATHERHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 ESTATES DR, DETROIT, MI 48206-2814
(734) 626-3873
Mailing address
1624 ESTATES DR, DETROIT, MI 48206-2814
(734) 626-3873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018231
MI
101YS0200X
School Counselor
IF0000000336996
MI
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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