Individual
JULIE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
24750 SWANSON RD, SOUTHFIELD, MI 48033-5320
(248) 355-5800
Mailing address
22523 OLMSTEAD ST, DEARBORN, MI 48124-2757
(313) 530-4530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013217
MI
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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