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Individual

KRISTINA EUBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
45039 OAK HILL BLVD, SHELBY TOWNSHIP, MI 48317-4932
(313) 492-8746
Mailing address
45039 OAK HILL BLVD, SHELBY TOWNSHIP, MI 48317-4932
(248) 266-0977

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014102
MI
101YM0800X
Mental Health Counselor
6401014102
MI
101YP2500X
Professional Counselor
6401014102
MI
106H00000X
Marriage & Family Therapist
6401014102
MI

Other

Enumeration date
01/16/2016
Last updated
05/10/2016
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