Individual
AMANDA JOY NAYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
20700 CIVIC CENTER DR STE 327, SOUTHFIELD, MI 48076-4150
(517) 225-6602
Mailing address
1864 ANITA LN, EATON RAPIDS, MI 48827-9216
(517) 410-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022361
MI
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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