Individual
COURTNEY Y WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LPC
Contact information
Practice address
22456 S KANE ST, DETROIT, MI 48223-2541
(419) 378-1969
Mailing address
23240 S BROOKSIDE DR, DEARBORN HEIGHTS, MI 48125-2321
(313) 949-2624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011384
MI
101YM0800X
Mental Health Counselor
6401011384
MI
Other
Enumeration date
07/24/2012
Last updated
08/22/2019
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