Individual
HEATHER RYLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
280 N OLD WOODWARD AVE STE LL4, BIRMINGHAM, MI 48009-5324
(248) 206-5886
Mailing address
1629 SPOTSWOOD DR, BLOOMFIELD TOWNSHIP, MI 48302-2267
(248) 225-1781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401222707
MI
101YP2500X
Professional Counselor
6063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401222707
LICENSE
MI
Enumeration date
07/15/2015
Last updated
11/10/2022
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