Individual
MS. JESSICA VANESSA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
29802 ROSEBRIAR ST, SAINT CLAIR SHORES, MI 48082-2634
(586) 746-4345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451018299
MI
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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