Individual
CARMENSITA J BUENTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 481-3137
Mailing address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801105765
MI
Other
Enumeration date
09/26/2019
Last updated
03/03/2023
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