Individual
MS. QUANDA U CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2301 VAN DYKE ST, RM. 506, DETROIT, MI 48214-3958
(313) 866-9973
(313) 866-5749
Mailing address
PO BOX 3412, SOUTHFIELD, MI 48037-3412
(313) 212-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401007559
MI
171M00000X
Case Manager/Care Coordinator
Primary
6401007559
MI
Other
Enumeration date
06/07/2007
Last updated
08/29/2019
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