Individual
JE'MILLE NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146
(313) 389-7500
Mailing address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016136
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528584299
—
MI
Enumeration date
08/15/2017
Last updated
09/04/2018
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