Individual
JILL HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
4000 W WALTON BLVD STE A-B, WATERFORD, MI 48329-4191
(248) 461-6266
Mailing address
4000 W WALTON BLVD STE A-B, WATERFORD, MI 48329-4191
(248) 461-6266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
12/15/2022
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