Individual
DAWN RENEE TEREZ HILLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50258 VAN DYKE AVE STE A, SHELBY TOWNSHIP, MI 48317-1374
(586) 884-4714
(586) 884-4693
Mailing address
50258 VAN DYKE AVE STE A, SHELBY TOWNSHIP, MI 48317-1374
(586) 884-4714
(586) 884-4693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
640101875
MI
101YM0800X
Mental Health Counselor
6401018750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401018750
—
MI
Enumeration date
10/29/2020
Last updated
10/29/2020
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