Individual
MRS. VIDA HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
6130 COCHISE DR, WEST BLOOMFIELD, MI 48322-2361
(248) 752-5080
Mailing address
3894 TEAKWOOD LN, ROCHESTER HILLS, MI 48309-1049
(248) 765-6157
(248) 276-0677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010571
MI
Other
Enumeration date
09/27/2009
Last updated
09/27/2009
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