Individual
PHYLLIS KAY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CADC-M
Contact information
Practice address
29828 CHELMSFORD RD, SOUTHFIELD, MI 48076-5703
(248) 215-2658
Mailing address
29828 CHELMSFORD RD, SOUTHFIELD, MI 48076-5703
(248) 215-2658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316282742
—
MI
Enumeration date
12/12/2012
Last updated
11/21/2017
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