Individual
LADIVA HALTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
32961 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-1729
(248) 855-1540
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401018018
MI
101YP2500X
Professional Counselor
Primary
6401018018
MI
Other
Enumeration date
02/19/2020
Last updated
08/10/2022
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