Individual
MS. SEAN OTUATHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
89 W SOUTH BLVD STE 200, TROY, MI 48085-1612
(248) 963-1916
(248) 605-3525
Mailing address
89 W SOUTH BLVD STE 200, TROY, MI 48085-1612
(248) 963-1916
(248) 605-3525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223089
MI
Other
Enumeration date
12/03/2011
Last updated
05/31/2023
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