Individual
MS. TANESHA NICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 243-8707
Mailing address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 843-8707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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