Individual
MS. MARY JO ANN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24110 CHERRY HILL ROAD, DEARBORN, MI 48124-1356
(313) 274-4570
(313) 274-4571
Mailing address
24110 CHERRY HILL ROAD, PASTORAL COUNSELING AND CONSULTATION SERVICES, DEARBORN, MI 48124-1356
(313) 274-4570
(313) 274-4571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011528
MI
Other
Enumeration date
08/23/2017
Last updated
08/24/2017
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