Individual
THAIS GUERRA WALENDOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35429 SHOENHERR RD, STERLING HEIGHTS, MI 48312-4258
(586) 303-2255
Mailing address
22289 SHANE DR, MACOMB, MI 48042-3820
(616) 990-5843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023645
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/13/2022
Last updated
06/17/2024
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