Individual
JUANETTA MADRE NYAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1701 LAKE LANSING RD STE 120, LANSING, MI 48912-3798
(810) 494-7180
(810) 215-1334
Mailing address
1100 TORREY RD STE 100, FENTON, MI 48430-3327
(810) 494-7180
(810) 215-1334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019456
MI
Other
Enumeration date
10/07/2020
Last updated
07/21/2021
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