Individual
MRS. RENEA RISHMAWI BAYOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
450 N OLD WOODWARD AVE STE 100, BIRMINGHAM, MI 48009-5361
(248) 792-8273
Mailing address
3757 ROLLING HILLS RD, LAKE ORION, MI 48359-1486
(810) 624-9527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014885
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
10/09/2014
Last updated
10/01/2024
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