Individual
RISA RAE MENDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, COTA
Contact information
Practice address
3638 SANCROFT AVE, WEST BLOOMFIELD, MI 48324-2655
(248) 342-3973
Mailing address
3638 SANCROFT AVENUE, WEST BLOOMFIELD, MI 48324
(248) 366-7445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019170
MI
Other
Enumeration date
09/06/2017
Last updated
03/22/2021
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