Individual
ELISE DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
26789 WOODWARD AVE STE 110, HUNTINGTON WOODS, MI 48070-1334
(312) 624-9815
Mailing address
444 ALBANY ST, FERNDALE, MI 48220-1805
(248) 515-4507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012197
MI
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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