Individual
TAMARA LYNN HALLIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23077 GREENFIELD RD STE 455, SOUTHFIELD, MI 48075-3740
(313) 683-2753
Mailing address
23077 GREENFIELD RD, SUITE 455 PMB 1063, SOUTHFIELD, MI 48075-3740
(313) 683-2753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016351
MI
Other
Enumeration date
02/07/2018
Last updated
02/28/2023
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