Individual
IMAGENE MORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 PROFESSIONAL DR, SUIT D-4, FLINT, MI 48532-3636
(810) 496-4935
Mailing address
1410 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0046
(248) 456-8150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013727
MI
101YM0800X
Mental Health Counselor
6401013727
MI
101YP2500X
Professional Counselor
Primary
6401013727
MI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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