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Individual

MS. GLORIA JEAN HIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
111 N RIVER ST, FENTON, MI 48430-2696
(810) 777-0250
(810) 208-0330
Mailing address
540 E SOUTH HOLLY RD, FENTON, MI 48430-2982
(810) 624-6707

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E3705
OH
101YM0800X
Mental Health Counselor
6401015626
MI
101YM0800X
Mental Health Counselor

Other

Enumeration date
02/21/2007
Last updated
04/15/2025
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