Individual
MS. JESSICA RAE DEJULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., T.L.L.P.
Contact information
Practice address
4646 JOHN R ST, B3287, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, B3287, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6301013731
MI
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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