Individual
MISS MARY LYNN DRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
(313) 758-0255
Mailing address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 751-0150
(313) 758-0255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401224128
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401224128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802084068
BA PSYCHOLOGY
MI
Enumeration date
05/02/2007
Last updated
09/14/2025
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