Organization
ADVANCE HEALING AND INTEGRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENAULL JORDAN APN (OWNER)
(480) 444-8184
Entity
Organization
Contact information
Practice address
12900 W 9 MILE RD, OAK PARK, MI 48237-2990
(480) 444-8184
Mailing address
12900 W 9 MILE RD, OAK PARK, MI 48237-2990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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