Individual
MASOUMEH MORADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2820 W MAPLE RD STE 100, TROY, MI 48084-7064
(248) 225-3769
Mailing address
2820 W MAPLE RD STE 100, TROY, MI 48084-7064
(248) 225-3769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401015122
MI
101YM0800X
Mental Health Counselor
Primary
6401018468
MI
Other
Enumeration date
01/18/2018
Last updated
11/05/2020
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