Individual
STACY KAY DOCTOROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
26413 HUNTINGTON RD, HUNTINGTON WOODS, MI 48070-1263
(248) 259-5642
Mailing address
26413 HUNTINGTON RD, HUNTINGTON WOODS, MI 48070-1263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401012499
STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
06/21/2011
Last updated
06/21/2011
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