Individual
JAYANTI MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
2500 PACKARD ST STE 104A, ANN ARBOR, MI 48104-6827
(734) 436-4886
Mailing address
1380 COOLIDGE HWY, TROY, MI 48084-7069
(248) 494-8424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018006
MI
Other
Enumeration date
03/07/2013
Last updated
09/19/2023
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